The nurse is concerned that an older client with dementia is receiving psychotropic medications for sleep. Which assessment findings best indicate the client is experiencing side effects? Select all that apply.
1. Feeling lightheaded upon standing
2. Unable to have bowel movement for four days
3. Hearing a conversation though no one is present
4. Inability to stay awake while completing a puzzle
5. Attempting to swallow one bite multiple times
1. Feeling lightheaded upon standing
2. Unable to have bowel movement for four days
4. Inability to stay awake while completing a puzzle
5. Attempting to swallow one bite multiple times
Explanation: 1. Typical side effects of hypnotic drugs include dizziness.
2. Typical side effects of hypnotic drugs include constipation.
3. Typical side effects of hypnotic drugs do not include hallucinations.
4. The older person who routinely takes hypnotic drugs for sleep will have a change in the architecture of the sleep cycle and may experience daytime lethargy.
5. Typical side effects of hypnotic drugs include problems with swallowing.
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The nurse is caring for an infant who is scheduled for surgery for pyloric stenosis. When planning the infant's care, which nursing diagnoses are appropriate?
Select all that apply. A) Deficient Fluid Volume related to inadequate intake and vomiting B) Hyperbilirubinemia related to poor liver function C) Sleep Pattern Disturbance related to discomfort and hunger D) Parental Anxiety related to surgery E) Imbalanced Nutrition, less than body requirements related to inadequate intake and vomiting
The nurse is caring for a postsurgical patient whose surgical procedure lasted 3 hours. The nurse anticipates that the patient will experience:
a. thrombophlebitis. b. muscle spasms. c. joint pain. d. hyperthermia.
The hospital has instructed its nurses that they must participate in disease surveillance associated with infectious agents. The nurses are warned that which of the following diseases are likely to be the weapons of terrorists?
1. Severe acute respiratorysyndrome (SARS) 2. Plague,anthrax,smallpox 3. Rubella,mumps,chicken pox 4. Rocky Mountain spotted fever,Lymedisease
An older adult client who has had a colostomy for over 10 years states, "I won't need any teaching about colostomies. I understand how to change the bag and care for my colostomy, but I'm not sure how to best clean my stoma."
What does this statement indicate? A) an incongruent relationship B) a confused relationship C) a non-therapeutic relationship D) an evaluative relationship