In order to plan for the care of a client on an acetylcholinesterase inhibitor, the nurse should assess for which of the following?
1. Level of depression
2. Memory impairment
3. Blood pressure
4. Mania
2
Rationale: Acetylcholinesterase inhibitors are used to treat memory and other cognitive impairments in people with dementia. Depression is treated with antidepressants and not acetylcholinesterase inhibitors. Blood pressure changes are not common adverse reactions of these medications. Mania is not treated with this group of medications.
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The student nurse learns about risk factors for gastric cancer. Which factors does this include? (Select all that apply.)
a. Achlorhydria b. Chronic atrophic gastritis c. Helicobacter pylori infection d. Iron deficiency anemia e. Pernicious anemia
A patient's ICP is 34 mm Hg, and his cerebral perfusion pressure is 65 mm Hg. Which of the following is the most appropriate intervention?
a. These are normal values, and no interventions are required. b. Administer mannitol 1 to 2 g/kg IV. c. Have the patient lie flat in bed. d. Suction the patient to see if improving his airway will help his ICP.
Parents of an infant express concern because the infant is touching his genitals. What should the nurse teach the parents?
A) Self-manipulation of genitals is normal behavior in an infant. B) Have the child wear clothes that prohibit touching. C) If this bad behavior continues, seek counseling. D) Make him have time out every time it happens.
Why would a nurse perform a community assessment as part of the Community Health Promotion Model?
a. To become more acquainted with the multiple factors that influence health status b. To survey the people in the community about their wants and needs c. To allow special interest groups a say in health policy d. To provide a narrow focus for the committee work