Which of the following should the nurse use to assess a nonverbal older adult for delirium?
a. Cranial nerves XI and XII
b. Confusion Assessment Method
c. MMSE-2
d. Controlled Word Association Test
B
The Confusion Assessment Method is a tool for measuring delirium in patients who are intubated or nonverbal. Assessing the accessory (CN XI) and hypoglossal (CN XII) cranial nerves provides clues about the patient's ability to swallow. The nurse uses the Controlled Word Association Test to assess for a neurologic cause of an older adult's cognitive dysfunction. This tool is an index of frontal lobe functioning and provides an assessment of executive function, including the patient's frontal lobe functioning and his or her ability to refrain from distraction and perseveration. The MMSE-2 is a valid and reliable tool to assess cognitive function; however, it is unable to pinpoint discrete areas of neurologic dysfunction.
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A patient taking cyclobenzaprine (Flexeril) complains of changes in the way foods taste. Which of the following would be the most appropriate response of the health care provider?
a. "This indicates that the drug will probably have to be discontinued." b. "This is a known unpleasant effect of cyclobenzaprine." c. "This effect often occurs if the doses of the drug are not high enough." d. "This symptom has nothing to do with taking cyclobenzaprine."
Obesity is associated with higher risk for which of the following conditions that affect the pulmonary and cardiovascular systems? Choose all that apply
1) Reduced alveolar-capillary gas exchange 2) Lower respiratory tract infections 3) Sleep apnea 4) Hypertension
A nurse is reviewing the culture results of a patient receiving an aminoglycoside. The report reveals an anaerobic organism as the cause of infection. What will the nurse do?
a. Contact the provider to discuss an in-creased risk of aminoglycoside toxicity. b. Continue giving the aminoglycoside as ordered. c. Request an order for a different class of antibiotic. d. Suggest adding a penicillin to the patient's drug regimen.
The purpose of Healthy People 2020 is to
A) provide a roadmap for the nation's health regarding promoting health and preventing disease. B) identify evidenced-based practice protocols. C) decrease community-based care in favor of acute care. D) determine congressional funding for health.