A nurse who cares for older adults recognizes which of the following clinical features associated with dementia? (Select all that apply.)
a. Failing to remember his or her room number
b. Becoming increasingly disoriented at night
c. Working on jigsaw puzzles for hours at a time
d. Often referring to a cup as a canyon
e. Misunderstanding when told "it's raining cats and dogs"
A, D, E
Clinical features of dementia are associated with cognitive deficiencies such as forgetfulness, lack of inquiry, inability to correctly associate proper words to objects, and concrete thinking.
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A child is to receive 10 units of a medication. The dose of 10 units is contained in 1 mL. Dilute to 30 mL and infuse in 30 minutes with a 20-mL flush to follow. The administration set is a microdrip. Calculate the milliliters/hour (mL/hr). _____
a. 100 b. 20 c. 60 d. 10
An 82-year-old client is brought to the emergency department with complaints of headache, dizziness, and ataxia. On review of the client's medication, you note that the client is taking Propoxyphene for arthritic pain and occasional headaches
The nurse would consider this drug to A) not contribute to the client's symptoms. B) be more effective in treating the client's pain than aspirin or acetaminophen. C) be less effective in older clients for pain relief. D) cause toxic side effects similar to the client's symptoms and should not be taken by the elderly.
An older patient tells the nurse that he develops pneumonia easily; however, his wife of the same age rarely "gets sick." How should the nurse respond?
1. "Not everyone's immune system is the same, regardless of their age." 2. "Your wife must be doing something that you're not doing." 3. "Maybe your wife just doesn't tell you when she's sick." 4. "It's just a matter of time. Your wife will have the same illnesses you do."
A client who has been diagnosed with panic disorder visits the clinic and experiences a panic attack. The client tells the nurse, "I'm so nervous. My hands are shaking, and I'm sweating. I feel as if I'm having a stroke right now."
What would be the priority intervention at this time? A) Stay with the client while remaining calm. B) Move the client to a safe environment. C) Tell the client that the attack will soon pass. D) Teach the client deep breathing techniques to calm her.