The nurse would be especially alert for the development of which of the following when administering an antihistamine to an older adult? Select all that apply
A) Hypotension
B) Hypertension
C) Dry mouth
D) Insomnia
E) Sedation
Ans: A, C, E
Feedback:
Older adult clients are more likely to experience anticholinergic effects (dry mouth), dizziness, sedation, hypotension, and confusion while taking an antihistamine.
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While trying to inform a 5-year-old girl about what will occur during an upcoming CT scan, the nurse notices that the child is engaged in a collective monologue, talking about a new puppy. The nurse's best response would be:
1. "Please stop talking about your puppy. I need to tell you about your CT scan." 2. Ignore the child's responses and continue discussing the procedure. 3. "I'll come back when you are ready to talk with me more about your CT scan." 4. "You must be so excited to have a new puppy! They are so much fun. Now let me tell you again about going downstairs in a wheelchair to a special room."
A nurse is American-born and works in a large hospital with patients from many cultures. What must this nurse develop to provide the best care?
a. Another language b. Assessment skills c. Cultural competence d. Care planning ability
An operating room nurse prepares a patient with type 2 diabetes for surgery. Which type of insulin will the surgical nurse have available?
a. Regular insulin (Humulin R) b. Isophane insulin suspension (NPH insulin) c. Insulin zinc suspension (Lente insulin) d. Insulin glargine (Lantus)
The nurse asks to meet with a healthcare provider and patient to discuss altering the patient's prescribed medication after the provider prescribes a placebo, which the nurse refuses to give. Which element of decision-making did the nurse implement?
1. Values clarification 2. Stakeholder identification 3. Moral hierarchy exploration 4. Integrity-preserving compromise