An elderly nursing home resident has been diagnosed with type 2 diabetes, hypertension, and dementi
a. The patient begins taking an antipsychotic drug for agitation. Tremor and bradykinesia develop, so an anticholinergic is added to the drug regimen. Within 3 days the patient displays a marked cognitive deficit. Which medication is the most likely cause of the cognitive change?
a. Antihypertensive
b. Anticholinergic
c. Antipsychotic
d. Antidiabetic
B
Anticholinergic medications often produce cognitive changes in older adults. Although the other medications listed might produce untoward effects, because the symptoms appeared after the introduction of the anticholinergic, one would suspect this drug first.
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What official agency exists exclusively for LPN/LVN membership and promotes standards for the LPN/LVN?
a. NFLPN b. ANA c. NLN d. NAPNES
Following an acute myocardial infarction (AMI), a patient ambulates in the hospital hallway. When the nurse is evaluating the patient's response to the activity, which assessment data would indicate that the exercise level should be decreased?
a. Blood pressure (BP) changes from 118/60 to 126/68 mm Hg. b. Oxygen saturation drops from 99% to 95%. c. Heart rate increases from 66 to 92 beats/minute. d. Respiratory rate goes from 14 to 20 breaths/minute.
The client either recovers from a stressor in the resistance stage or:
1. experiences a parasympathetic response. 2. becomes exhausted. 3. experiences homeostasis. 4. notes a sympathetic response.
The body system that makes it possible for a new human being to be born is the
a. urinary system b. reproductive system c. circulatory system d. endocrine system