The client's family states, "We don't understand what is happening to Dad. He seems better earlier in the day and then in the evening his confusion and agitation really increase
" What is the best explanation for what the client is experiencing? 1. Sundowner syndrome
2. Delirium
3. Anxiety
4. Psychosis
1
Rationale: Sundowner syndrome, or sundowning, is understood as confused behavior when the environmental stimulation is low. It is seen in clients with delirium and dementia. The client can become increasingly agitated, disoriented, or even aggressive/paranoid or impulsive and emotional later in the day and at night.
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A patient has been prescribed the synthetic hormone levothyroxine. What medication instructions should the nurse provide? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. "Take the medication with juice or milk for best absorption.". 2. "You may need a stool softener when taking this medication.". 3. "Do not switch brands of levothyroxine without first discussing the change with your health care provider.". 4. "Plan to take this medication every day for the rest of your life.". 5. "Take your medication at least 4 hours before taking antacids containing calcium.".
A patient who is prescribed ethambutol (EMB, Myambutol) reports trouble distinguishing colors. What is your best action?
a. Document the report as the only action. b. Hold the dose and notify the prescriber immediately. c. Caution the patient to wear sunglasses and a hat when outside. d. Reassure the patient that this is a common side effect of the drug.
Parents of a child with anemia of unknown cause learn that their child will be tested for sickle cell anemia. The parents ask the nurse to explain why after having a sickle solubility test the child is now going to have a hemoglobin electrophoresis
Which of the following explanations by the nurse would be most accurate? a. The physician has to verify the results of the first test and doesn't like to base a diagnosis on just one test. b. The solubility has to do with the sickle cell and the electrophoresis with the severity of the anemia. c. The solubility test has to do with what solutions will dissolve a sickle cell and the electrophoresis with determining the electrical charge. d. The solubility test is to detect the presence of hemoglobin S(Hb S), while the hemoglobin electrophoresis is to determine the amount of Hb S in the blood.
A nurse is planning palliative care for a child with severe pain. Which should the nurse expect to be prescribed for pain relief?
a. Opioids as needed b. Opioids on a regular schedule c. Distraction and relaxation techniques d. Nonsteroidal anti-inflammatory drugs