While evaluating the effectiveness of a drug administered to an older client 1 hour ago the nurse notes that the client is confused and disoriented. What should the nurse conclude about this observation?
1. Expected response to the drug
2. Client is demonstrating normal aging confusion.
3. This might be an effect of polypharmacy.
4. The client has a fever.
Answer: 3
1. If the client was not confused before administration of the drug, but is when the nurse evaluates, the client is not responding well to the drug.
2. Confusion is not an expectation of aging.
3. Many older clients take multiple drugs, which can diminish or potentiate other drugs. This is also known as polypharmacy.
4. Confusion can be result of a high fever in the older client, but the nurse first would suspect the medication given an hour ago.
You might also like to view...
When caring for a client with an arthroplasy, the nurse needs to monitor the client for which major complication?
A) mobility postsurgery B) monitoring postoperative pain C) infection postsurgery, because it impairs healing D) cardiac arrhythmias
Sleeplessness, or the inability to fall asleep or stay asleep, is termed ________.
Fill in the blank(s) with the appropriate word(s).
Clients with severe mental illness often have great difficulty escaping homelessness. The most common reason for this cycle of homelessness is which of the following?
A) People with mental illness have less of a support system and difficulty obtaining employment. B) Families experience severe stress and eventually abandon the role of caring for the mentally ill family member. C) There is not enough security and supervision provided in institutional housing. D) Caring for the homeless with mental illness depletes the resources of the health care system.
Which of the following is one of the greatest risks of general anaesthesia?
a. Hypertension b. Cardiovascular depression c. Oral mucosa damage d. Tachypnea