After completing an assessment, the nurse reviews the older patient's medications. Which medication may cause problems with sleep?
1. Benadryl
2. Ibuprofen
3. Vitamin B
4. Ferrous sulfate
1
Rationale: Antihistamines such as diphenhydramine (Benadryl) should not be used for sleep because of their anticholinergic side effects and the potential to decrease respiratory drive.
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The drug recommended as primary prevention of osteoporosis in men over age 70 years is:
1. Alendronate (Fosamax) 2. Ibandronate (Boniva) 3. Calcium carbonate 4. Raloxifene (Evista)
You are working with a client who has many of the symptoms of cataplexy. Which of the following questions would you ask this client about her experience, which she describes as a "collapsing spell," to determine if it was cataplexy?
a. "Did you stop breathing?" b. "Were you aware of your surroundings?" c. "Would you describe it as a blackout?" d. "Did other people witness the event?"
Utilizing the tenets of secondary prevention, your committee seeks to establish an HIV/AIDS clinic. You state that it is important for the location of the clinic to be associated with the local hospital
The committee states that the cost of the clinic associated with the hospital is higher than one that is free standing. You explain the rationale for your suggestion in the following manner A) Third-party insurance will reimburse the clinic visits only if the clinic is attached to the hospital. B) The hospital can address programs of care for the clients. C) The hospital will cover the clients only if the clinic is approved by the hospital governance board. D) The hospital will have a vested interest in the success of the clinic.
Uterine tachysystole is observed when there are
A. 5 or more contractions in 10 min B. 6 or more contractions in 10 min C. 10 or more contractions in 10 min D. 7 or more contractions in 10 min