An older man is taking chlorpromazine (Thorazine), and the nurse helps him choose menu items. To prevent an exacerbation of potential adverse effects of therapy, which menu item does the nurse instruct the man to avoid?
a. Biscuits and gravy c. Whole grain bread
b. Coffee with cream d. Mixed green salad
B
Because antipsychotic medications potentially impair the body's thermoregulatory ability, the nurse instructs an older adult who takes an antipsychotic agent such as chlorpromazine to avoid caffeinated beverages because they contribute to dehydration. This man is at high risk for organ damage as a result of hyperthermia from mild elevations in the environmental temperature; therefore he must avoid dehydration, stay in cool temperatures, keep out of direct sunlight, and alert people around him and caregivers to monitor his temperature carefully and to be prepared to provide cooling sponge baths, cool liquids, and other measures to reduce his temperature quickly. The nurse instructs all older adults to avoid eating biscuits and gravy because these items have an excessively high fat content. Whole grain bread is a healthy food item to choose. Mixed green salad is a healthy food item to choose.
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A nurse cares for a client who is experiencing deteriorating neurologic functions. The client states, "I am worried I will not be able to care for my young children." How should the nurse respond?
a. "Caring for your children is a priority. You may not want to ask for help, but you have to." b. "Our community has resources that may help you with some household tasks so you have energy to care for your children." c. "You seem distressed. Would you like to talk to a psychologist about adjusting to your changing status?" d. "Give me more information about what worries you, so we can see if we can do something to make adjustments."
Status epilepticus
A) may be treated with intravenous diazepam (Valium). B) is defined as two or more unprovoked seizures. C) develops in the late stages of Alzheimer's disease. D) may be mistaken for daydreaming.
A patient who is taking diphenoxylate with atropine (Lomotil) to treat diarrhea asks the nurse why it contains atropine. The nurse will explain that atropine is added to
a. decrease abdominal cramping. b. increase intestinal motility. c. minimize nausea and vomiting. d. provide analgesia.
As the only public health nurse in a rural health clinic, on the basis of risk, who would be your priority group for care?
a. African-American and Native American adults b. Adolescents c. Elderly women who live alone d. Migrant farm workers' children