An older adult patient residing at an adult assisted living facility complains of hearing and visual disturbances. A nurse must be alert to the effects of sensory deprivation that are associated with which of the following?
a. Stable affect
b. Altered perception
c. Improved task completion
d. Decreased need for social interaction
B
Sensory deprivation sometimes produces cognitive changes such as the inability to solve problems, poor task performance, and disorientation. It also can cause affective changes (e.g., boredom, restlessness, increased anxiety, emotional lability) and/or perceptual changes (e.g., reduced attention span, disorganized visual and motor coordination, confusion of sleeping and waking states). Patients may withdraw from social situations because of their inability to handle stimuli.
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The nurse explained how to position an infant with tetralogy of Fallot if the infant suddenly becomes cyanotic. Which statement by the father leads the nurse to determine he understood the instructions?
a. "If the baby turns blue, I will hold him against my shoulder with his knees bent up toward his chest." b. "If the baby turns blue, I will lay him down on a firm surface with his head lower than the rest of his body." c. "If the baby turns blue, I will immediately put the baby upright in an infant seat." d. "If the baby turns blue, I will put the baby in supine position with his head elevated."
The nurse acknowledges that a formal contract be legally changed if there is:
a. the development of another formal contract b. a discussion by parties involved that implied consensus c. an intervention by an official of the judicial system d. a verbal or written agreement by all involved parties
The client is chronically mentally ill. When working with her, the caregiver must remember that she has an altered sense of
1. time. 2. space. 3. distance. 4. territory.
Order: allopurinol (Zyloprim) 150 mg, PO, q.i.d. Available: a. How many tablet(s) should be given per dose? b. How many mg will the client receive per day?
What will be an ideal response?