An older client is experiencing a change in mood. For which medications should the nurse assess as the possible cause of this client's cognitive change? Select all that apply.

1. Dexamethasone
2. Ketorolac
3. Fluconazole
4. Phenobarbital
5. Atenolol


1. Dexamethasone
2. Ketorolac
4. Phenobarbital
5. Atenolol

Explanation: 1. Changes in mood can result from taking steroids.
2. Changes in mood can result from taking nonsteroidal anti-inflammatory drugs (NSAIDs).
3. Changes in mood are not associated with taking antibiotics, except fluoroquinolones like levofloxacin, moxifloxacin, and ciprofloxacin.
4. Changes in mood can result from taking benzodiazepines.
5. Changes in mood can result from taking antihypertensives.

Nursing

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A patient is scheduled for abdominal surgery tomorrow. While gathering preoperative data, the nurse learns that the patient takes the following medications daily: an anticoagulant, a multivitamin, and vitamin E 1,500 IU

The patient reports that he stopped taking the anticoagulant 4 days ago as instructed by the surgeon. He has continued to take the multivitamin and vitamin E. Based on the information given, the nurse telephones the surgeon because she: 1) Needs an order to restart the anticoagulant. 2) Iis concerned about continued use of the multivitamin. 3) Is concerned about the vitamin E dosage. 4) Thinks the surgery should be delayed until further notice.

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A health care provider prescribes Osmitrol (mannitol), 0.5 g/kg intravenously (IV) now, for a child with minimal change nephrotic syndrome. The child weighs 10 kg. The medication label states: "Osmitrol (mannitol) 20 g/100 ml."

The nurse prepares to administer the dose. How many milliliters will the nurse prepare to administer the dose? Fill in the blank. Record your answer in a whole number. ________________

Nursing

Which technique is appropriate for providing intermittent tube feeding once placement of the tube has been checked?

a. Cooling the formula b. Lowering the head of the bed c. Allowing the bag to empty gradually over 30 to 45 minutes d. Adding food coloring to detect aspiration

Nursing

Which assessment findings would be recognized as late signs of shock in a child?

a. Metabolic (lactic) acidosis b. Cool skin c. Bradycardia d. Prolonged capillary refill e. Hypotension

Nursing