The nurse observes an 83-year-old resident of a nursing home scratching repeatedly over the last several days. The resident states, "I'm so itchy these days it drives me crazy.". Which of the following measures should the nurse prioritize?
A) Referral to the resident's physician for oral corticosteroids.
B) Increasing the frequency of the residents bathing schedule.
C) Closer monitoring for a better control of the resident's blood pressure.
D) Dietary changes and application of zinc oxide.
D
Feedback:
Changes in diet and application of zinc oxide can often alleviate pruritus. Increasing the frequency of bathing may exacerbate the problem, and oral corticosteroids are not noted to be a common treatment modality. Blood pressure is not noted to relate directly to pruritus.
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The nurse is assigned to a 28-year-old patient, whose chief complaint is headaches and lightheadedness
The patient reports that at times he has sensations that he is moving in space, and occasionally it feels as if objects in the room are moving around him. The nurse recognizes that the patient is describing a. syncope. c. paresthesia. b. vertigo. d. an epileptic aura.
A patient has been prescribed metformin for treatment of type 2 diabetes. Which teaching would the nurse provide? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. "You are likely to have one or two episodes of hypoglycemia while your body adjusts to this medication.". 2. "If you need any diagnostic testing that requires radiocontrast dye, be certain to report that you are taking metformin.". 3. "You may have mild stomach upset at first when taking this medication.". 4. "Take this medication just before you begin to eat.". 5. "You may develop a persistent cough while taking metformin.".
Which physiological difference would affect the absorption of oral medications administered to a 3-month-old infant?
a. More rapid peristaltic activity b. More acidic gastric secretions c. Usually more rapid gastric emptying d. Variable pancreatic enzyme activity
A quality nursing center must:
a. Have large gardens b. Be Medicare-certified c. Serve only older persons d. Be near shopping and churches