Which symptom(s) would be consistent with a paradoxical response associated with melatonin use? (Select all that apply.)
a. Drowsiness
b. Agitation
c. Insomnia
d. Poor concentration
e. Jet lag
ANS: B, C
Paradoxical, or opposite, responses would include agitation and insomnia. Melatonin causes drowsiness and poor concentration, which are not paradoxical. Melatonin is best known as a sleep aid and treatment for jet lag.
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Which is used to treat the most common cause of impairment to an older person's hearing?
a. Hearing aids b. Cochlear implants c. Ear canal irrigation d. Sign language
A patient who is homeless has not followed through with getting an influenza vaccination. What response by the nurse to a student is most appropriate?
a. "It's hard to be proactive when you are hungry." b. "If the patient would just come in, we have the shot." c. "These patients never follow through on directions. d. "Too bad we can't take the shot to him where he is."
A totally dependent person is scheduled for a complete bed linen change this morning. You are the CNA assigned to perform this task. What items should you bring to the room to complete this task? What safety concerns should you consider while performing this task?
What will be an ideal response?
An older adult client presents with cramping leg pain when walking, which is relieved by rest; cool pale feet; capillary refill in the toes of 4 to 6 seconds; negative Homans' sign bilaterally;
no edema; and inability to palpate dorsalis pedis and posterior tibial pulses bilaterally. Which of the following would the nurse suspect? A) Arterial insufficiency B) Musculoskeletal weakness C) Venous insufficiency D) Neurologic impairment