A newly admitted elderly client seems to become confused and agitated every evening after dinner. This client most likely is suffering from:
a. Alzheimer's disease
b. Acute dementia
c. Sundown syndrome
d. Delirium
C
Sundown syndrome typically occurs during the late afternoon, evening, or night when an elderly person is in unfamiliar surroundings. The other three options occur at any time of day, evening, or night. The symptoms often disappear when the client is back in familiar surroundings.
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When teaching clients strategies for primary prevention of sexually transmitted diseases (STDs), the nurse should
a. encourage compliance with medical treatment. b. encourage early treatment of infected individuals. c. provide risk reduction counseling. d. treat all the client's sexual partners.
The nurse administers intravaginal miconazole (Monistat) to a female patient with a vaginal candidiasis infection and a history of recent DVT, for which the patient takes warfarin (Coumadin)
For which adverse effect should the nurse monitor the patient? a. Hyperkalemia b. Increase in WBCs c. Bruising and bleeding gums d. Increased vaginal itching and burning
The client has been prescribed duloxetine (Cymbalta) for the treatment of diabetic neuropathic pain. What information should the nurse provide to this client?
Standard Text: Select all that apply. 1. "The prescription is for a small number of capsules because the medication will be discontinued if it doesn't work in a week." 2. "This is a corticosteroid, so you may notice an increased thirst." 3. "Your dose is lower than your wife's because her prescription is for a different reason." 4. "You may feel relief in as few as 5 days." 5. "This drug is a narcotic, so be certain to keep it in a safe place."
The student nurse is conducting an informal study on pain management in the older adult population in a local long-term care facility. Which older adult client population will the student most likely find to receive the least effective pain management?
A) residents 85 years or older B) residents with a history of frequent hospital admissions C) white females D) residents with diabetes