The nurse is aware the older adult is at risk for drug-induced delirium because of:
a. slower bowel motility.
b. reduced fluid intake.
c. overall reduced metabolism.
d. sedentary lifestyle.
C
Slower renal and liver clearance of drugs allows the drugs to accumulate in the system of the older adult.
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What nursing action will the nurse implement after feeding an infant with hydrocephalus?
a. Position the infant sitting upright in an infant seat. b. Place the infant over the shoulder to burp. c. Leave the infant in a side-lying position. d. Stimulate the infant by rubbing its feet.
A patient enjoys exercising and wants to know if it can continue to be done while pregnant. What should the nurse instruct the patient about exercising at this time? (Select all that apply.)
A) Drink plenty of liquids to prevent dehydration. B) Limit strenuous exercise to no longer than 20 minutes. C) Eat a low-protein, simple carbohydrate snack before exercising. D) Warm up for 5 minutes by walking or cycling on low resistance. E) Avoid exercises that require jumping or rapid changes in direction.
The pressure reading during inspiration on the ventilator of a client receiving mechanical ventilation is fluctuating widely. What is the nurse's first action?
a. Determine whether an air leak is present in the client's endotracheal tube cuff. b. Have the respiratory therapist check the pressure settings. c. Assess the client's oxygenation. d. Manually ventilate the client with a resus-citation bag.
A nurse is caring for four patients. On which patient should the nurse plan to conduct a further nutritional assessment?
a. The patient who has lost 10% of body weight in 1 month b. The patient who has lost 5 pounds with exercise in 1 month c. The patient who gained 3 pounds while on vacation d. The patient who weighs 12% over ideal body weight