The nurse taking care of an older adult patient recently diagnosed with anxiety disorder. The patient asks why the primary care provider is reluctant to prescribe an antianxiety medication
The nurse educates that patient about which possible adverse effect of antianxiety medications commonly seen in older adults?
1. Dizziness
2. Decreased libido
3. Gastrointestinal distress
4. Paradoxical reaction
Answer: 4
Explanation: Special considerations should be given when administering antianxiety medication to older adults due to the slower rate of clearance secondary to a slow metabolism rate, increased accumulation, and/or greater sensitivity to central nervous system depressants. Older adults may exhibit a paradoxical effect in which the medication gives an opposite effect than the expected outcome. Dizziness, decreased libido, and gastrointestinal side effects may also be seen, but these are not side effects specific to older adults.
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The nurse is caring for a postoperative patient who underwent bowel resection surgery that morning. The nurse assesses the patient's abdomen and notes that there are hypoactive bowel sounds
The patient is resting quietly without nausea or vomiting. What is the appropriate action of the nurse? a. Keep the patient NPO and document the findings in the chart. b. Administer a laxative suppository to stimulate peristalsis. c. Insert a Salem sump nasogastric tube to low continuous suction. d. Notify the surgeon and prepare the patient to return to surgery.
Why are nursing theories important?
1. Nurses have professional autonomy. 2. Nursing can be directed by non-nurses. 3. They allow for better interdisciplinary collaboration because the "rules" are set. 4. They allow for study of human nature.
A client's complete blood count reveals a large amount of phagocytic cells present. The nurse realizes that this type of cell is most likely:
1. basophils. 2. eosinophils. 3. monocytes. 4. neutrophils.
Consider the method of sample recruitment in the Lodewijckx et al (2013) study and the extent to which sample bias could have affected the findings. What different recruitment strategies could have been used to improve sample representativeness?
What will be an ideal response?