The nurse knows that the patient taking olanzapine for SSD will need to be followed in order to help manage which aspect of care?
1. Weight
2. Anxiety
3. Vital signs
4. Physical competence
Answer: 1
Explanation: Research shows serious weight gain issues for patients using olanzapine and the need for aggressive management of symptoms with diet and nutritional education interventions. Vital signs, physical competence, or anxiety will not need to be followed to help manage care.
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A visiting nurse is in the home of an older adult and notes a 7-pound weight loss since last month's visit. What actions should the nurse perform first? (Select all that apply.)
a. Assess the client's ability to drive or transportation alternatives. b. Determine if the client has dentures that fit appropriately. c. Encourage the client to continue the current exercise plan. d. Have the client complete a 3-day diet recall diary. e. Teach the client about proper nutrition in the older population.
The nurse concludes that a significant goal of the care plan for an alcoholic patient has been met when the patient makes which statement?
a. "I drink because I'm lonely." b. "All my difficulties are related to my drinking." c. "I wouldn't need to drink if I had my family back." d. "My drinking helps me cope with the stress of my job."
The order of the physical examination in the older patient should:
A. Begin with gait observation or transfer ability from wheelchair to exam table B. Begin with activities that cause the least expenditure of energy C. Be performed in a head-to-toe sequence D. Be a focused physical examination limited to the patient symptoms
A patient with acne rosacea is sensitive about the facial erythema and telangiectases. The nurse recommends that she:
a. drink 4 ounces of wine a day for vasodila-tion. b. cease smoking. c. avoid direct sunlight. d. forgo coffee and tea.