A 46-year-old patient is receiving propranolol (Inderal), a nonselective beta-adrenergic blocker for his heart condition. The nurse would teach the patient to:
1. sit or lie down when taking the drug.
2. limit caffeine intake.
3. double the dose if symptoms occur.
4. not stop the drug abruptly.
4
Beta-blockers should never be stopped abruptly because they can cause angina or a myocar-dial infarction. Patients are gradually weaned off these medications.
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What is the goal of herbal therapy?
a. Treat symptoms b. Restore balance c. Treat disease d. Improve nutrition
The caregiver assesses the client's memory recall and orientation to time, place, and person. This part of the mental status examination assesses the client's
1. sensorium. 2. appearance. 3. emotional state. 4. abstract relationships.
A geriatrician and social worker are facilitating a family meeting for the children and wife of a 79-year-old man who has been diagnosed with Alzheimer disease
What goal of treatment will the clinicians most likely prioritize in their interactions with the family? A) Modest reversal of brain plaque formation and improved symptomatology through cholinesterase inhibitors B) Surgical treatment of the underlying ischemic changes that underlie the manifestations of the man's disease C) The use of medications such as donepezil and rivastigmine to slow the progression of the disease D) Cognitive and behavioral therapy to counteract the agitation, depression, and suspiciousness associated with Alzheimer disease
An older woman comes to the office with vague complaints of fatigue, lethargy, being forgetful, lacking energy, and always being cold. She apologizes for taking up the clinic's time, because her problems don't seem too severe
The best response would be: 1. "The symptoms are probably just due to the aging process." 2. "Many people your age are worried about Alzheimer's disease." 3. "You are right to report any changes. We need to know that so that we can give you the best care." 4. "You have good insurance, and so it's good of you to come to the office."