Assessment of an older adult diagnosed with dementia with Lewy bodies reveals that the client is receiving psychiatric medications. The client states, "I get dizzy periodically and have trouble walking." Which of the following should the nurse d
A) Assess for development of orthostatic hypotension.
B) Instruct the client to stop taking the psychiatric medications.
C) Interview the client's family about the client's coping skills and current stress level.
D) Suggest the client periodically use an alcohol-based mouthwash several times a day.
Ans: A
Many psychiatric medications affect blood pressure. Generally, these medications may cause orthostatic hypotension, which can lead to dizziness, an unsteady gait, and falls. A baseline blood pressure is needed to effectively monitor medication side effects. Telling the client to stop taking the medications is inappropriate. Asking family members about the client's coping skills and stress level would provide no information about the client's complaints. Using a non-alcohol-based mouthwash would be appropriate for combating dry mouth.
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