The patient with Alzheimer's disease (AD) has been on donepezil (Aricept) for several weeks. In which situation would the nurse suspect an overdose?
a. The patient hungrily eats meals and often searches for snacks between meals.
b. The nurse assesses a radial pulse rate of 92 beats/min.
c. The patient's blood pressure is elevated after periods of exertion.
d. The patient fails to grasp a glass tightly enough to prevent dropping it.
D
Inability to grasp the glass indicates muscle weakness, a cardinal indicator of overdose of Ari-cept. Other overdose signs are hypotension, nausea and vomiting, and bradycardia. Appetite changes are not consistent with the use of this medication.
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A client informs the nurse that he has been taking ibuprofen every 6 hours for 3 weeks to help alleviate the pain of arthritis. The client has a history of a gastric ulcer and is taking a proton pump inhibitor for the treatment of this disorder
What should the nurse instruct the client about the use of the ibuprofen? A) "You should never take ibuprofen; it can cause considerable problems." B) "Ibuprofen is contraindicated when taking a proton pump inhibitor." C) "It would be best to contact the physician prior to take any over-the-counter medications." D) "Don't you know that you can cause bleeding when you take that medication so often?"
Shortly after a cesarean birth, a newborn begins to exhibit difficulty breathing. Nasal flaring and slight retractions are noted. The newborn is admitted to the neonatal intensive care unit (NICU) for closer observation,
with a diagnosis of transient tachypnea (TTN). The parents are notified and become anxious because they have no idea what this means in terms of medical condition. The best action that the nurse can take at this time is to: a. refer them to the neonatologist for more information. b. tell them not to worry because their infant will be monitored closely by trained staff. c. explain to them that this often occurs following a birth but it will most likely resolve in the next 24 to 48 hours. d. tell them that they will be able to come and see their baby, which will help make them feel better.
A client is immobilized because of a stroke. Immobilized clients should be turned every 2 hours; therefore, this particular client should be turned every 2 hours. What is an accurate statement about the type of reasoning and the conclusion reached?
a. Inductive reasoning with an uncertain conclusion b. Deductive reasoning with a certain con-clusion c. Inductive reasoning with a certain conclu-sion d. Deductive reasoning with an uncertain conclusion
Which of the following is essential for diagnosing thyroid cancer?
a. Fine needle aspiration b. Thyroid ultrasound c. Computed tomography (CT) scan d. Magnetic resonance imaging (MRI)