The spouse of a patient with Alzheimer disease (AD) asks what sundowning means. How should the nurse respond to this question?
A. "Repetition of words or phrases occurs more frequently."
B. "The eyes will appear more downcast and the lids will droop."
C. "The ability to perform simple tasks is lost."
D. "It causes agitation, disorientation to time, and wandering during the afternoon or early evening."
Answer: D
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At 11:00 AM, a patient with schizophrenia who exhibits concrete thinking asks the nurse for PRN acetaminophen (Tylenol). However, he last had it at 8:00 AM, and it is ordered only every 4 hours. Which nursing response would be most therapeutic?
a. "I'm sorry, it's not quite time yet; please come back again in 1 hour.". b. "I'm sorry, it's not quite time yet; please come back again at 12 noon.". c. "It's not time yet; please come back when both hands of the clock point straight up.". d. "It's not time yet; I will let you know when it is time. Perhaps a nap would help?"
The nurse is talking with a group of nursing students. What drug would the nurse tell them, when combined with furosemide (Lasix), is likely to cause hearing loss?
A) Codeine B) Ciprofloxacin (Cipro) C) Digoxin (Lanoxin) D) Gentamicin (Garamycin)
Sandra has palpitations that are occurring with muscle twitching, paresthesia, and fatigue. What might a specific diagnostic test be to determine the cause?
a. Serum calcium b. Electrocardiogram (ECG) c. Thyroid-stimulating hormone (TSH) test d. Complete blood cell count (CBC)
The nurse is talking to a parent of an infant with heart failure about feeding the infant. Which statement about feeding the child is correct?
a. "You may need to increase the caloric density of your infant's formula." b. "You should feed your baby every 2 hours." c. "You may need to increase the amount of formula your infant eats with each feeding." d. "You should place a nasal oxygen cannula on your infant during and after each feeding."