An NP is caring for a 70-year-old patient who reports having seasonal allergies with severe rhinorrhea. Using the Beers criteria, which of the following medications should the NP recommend for this patient?
a. Loratadine (Claritin)
b. Hydroxyzine (Vistaril)
c. Diphenhydramine (Benadryl)
d. Chlorpheniramine maleate (Chlorphen 12)
A
Loratadine is the only nonsedating antihistamine on this list. Older patients are especially susceptible to sedation side effects and should not use these medications if possible.
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In which age-group does the child's active imagination during unfamiliar experiences increase the stress of hospitalization?
a. Toddlers b. Preschoolers c. School-age children d. Adolescents
The nurse monitors for which acid-base problem in a client who is taking furosemide (Lasix) for hypertension?
a. Acid excess secondary to respiratory acidosis b. Acid deficit secondary to respiratory alkalosis c. Acid excess secondary to metabolic acidosis d. Acid deficit secondary to metabolic alkalosis
When does a durable power of attorney (DPOA) become active?
1. when the paperwork is signed 2. when the lawyers notify the family that the DPOA is in force 3. when the patient is no longer able to speak for himself/herself 4. when the patient dies
The nurse is preparing to provide a complete bed bath to an unconscious patient. The nurse decides to use a bag bath. She does this for which of the following reasons?
a. Washbasins can harbor gram-negative organisms. b. Bag baths use soaps that enhance cleansing. c. Bag baths do not contain emollients. d. Bag baths increase skin flaking and scaling.