When assessing an older client who is receiving an antihistamine, the nurse integrates knowledge of which of the following as contributing to the client's higher risk of injury? Select all that apply
A) Hearing loss
B) Steady gait
C) Visual impairment
D) Hypertension
E) Diabetes
Ans: A, C
Feedback:
Older adult clients are more likely to experience injury from dizziness because with age comes an increased risk for falls due to sensorimotor deficits (hearing loss, visual impairment) or unsteady gait.
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A female college student with migraine headaches that cause nausea and vomiting has been prescribed trimethobenzamide (Tigan). It is important for the nurse to caution the student to avoid using what?
A) St. John's wort B) Calcium channel blockers C) Selective serotonin reuptake inhibitors (SSRIs) D) Alcohol
The nurse sits at the bedside of a comatose, terminally ill older client reading the wishes ex-pressed in the numerous cards the client has received. Which concept of grief work is the nurse addressing with this intervention?
a. Everyone needs social interaction. b. The nurse needs to "attend to the patient." c. Hearing is believed to be the last sense to be lost. d. The individual is living until he or she is dead.
Which question is most important to ask a patient who is prescribed acetazolamide (Diamox) before administering the first dose?
a. "Do you have diabetes?" b. "Are you allergic to sulfa drugs?" c. "How long have you had glaucoma?" d. "Do you eat grapefruit or drink grapefruit juice?"
A patient who is hospitalized with a pelvic fracture after a motor vehicle accident just received news that the driver of the car died from multiple injuries
What actions should the nurse take based on knowledge of the physiologic stress reactions that may occur in this patient (select all that apply)? a. Assess for bradycardia. b. Ask about epigastric pain. c. Observe for decreased appetite. d. Check for elevated blood glucose levels. e. Monitor for a decrease in respiratory rate.