An older-adult patient is visiting the clinic after a fall during the night. The nurse obtains information on what medications the patient takes. Which medication most likely contributed to the patient's fall?
a. Melatonin
b. L-tryptophan
c. Benzodiazepine
d. Iron supplement
ANS: C
The most likely cause is a benzodiazepine. If older patients who were recently continent, ambulatory, and alert become incontinent or confused and/or demonstrate impaired mobility, the use of benzodiazepines needs to be considered as a possible cause. This can contribute to a fall in an older adult. Short-term use of melatonin has been found to be safe, with mild side effects of nausea, headache, and dizziness being infrequent. Iron supplements may be given to patients with restless legs syndrome. Some substances such as L-tryptophan, a natural protein found in foods such as milk, cheese, and meats, promote sleep; while it does promote sleep, it is not the most likely to cause mobility problems.
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ANS:
A nurse working in an OB/GYN outpatient clinic finds that on a routine anemia screen a pregnant client in her second trimester has a hemoglobin of 10 g/dL and a serum ferritin level of 11 mg/L. The client confirms fatigue, but otherwise feels fine
Which actions by the nurse are appropriate when providing care to this client? Select all that apply. A) Complete a further history and exam to carefully assess for any potential cause of bleeding. B) Review a list of iron-rich foods and explore with the client how she can increase dietary iron. C) Have the client continue her usual daily prenatal vitamin dose. D) Stress the importance of complying with an increase in iron supplementation to 100 mg per day. E) Ask the client to return in 2 months for a repeat check of her serum iron levels. F) Order a screening for sickle cell anemia.
A nurse has accepted a job position in a clinic whose focus is on health care during pregnancy and infancy. Which type of health organization does this represent?
1. Health protection 2. Health restoration 3. Preventive health services 4. Health promotion
Calculate the DMFN for a child weighing 11 kg: ________.
Fill in the blank(s) with the appropriate word(s).