A hospitalized client complains that the loud noise and activity outside the room hinders sleep. The physician leaves an order for a hypnotic agent
The night nurse administering this medication needs to monitor client safety afterwards because these medications may cause (Select all that apply) a. antegrade amnesia.
b. hangover effects.
c. increased falls and hip fractures.
d. less time in REM sleep.
e. restless leg syndrome.
A, B, C
Most hypnotics cause some degree of antegrade amnesia, which means that normally cognitively intact individuals may become disoriented and forget where they are. Longer-acting hypnotics often have a hangover effect, and there is an increased risk of falls and hip fractures in people taking long-acting benzodiazepines.
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A medical student is working with a 61-year-old male client in the hospital who has presented with a new onset of atrial fibrillation. Which of the following courses of treatment will the student most likely expect the attending physician to initiate?
A) Immediate cardioversion followed by surgery to correct the atrial defect B) Anticoagulants and beta-blockers to control rate C) Antihypertensives and constant cardiac monitoring in a high acuity unit D) Diuretics, total bed rest, and cardioversion if necessary
When the progress notes reflect that digital rectal examination (DRE) revealed extensive hardening in the posterior lobe of the prostate gland, the nurse recognizes that the observation typically indicates:
A) A normal finding B) A sign of early prostate cancer C) Evidence of a more advanced lesion D) Metastatic disease
The nurse tests the capillary refill on a client's lower extremity and notes that it takes 4 seconds for the color to return to baseline. It would be most important for the nurse to then check for
a. constricting clothing. b. other indicators of peripheral perfusion. c. presence of venous ulcers. d. prior surgery on this extremity.
The labor and delivery unit nurse manager is incorporating complementary and alternative therapies into the unit's policies and procedures
Which statement should the nurse manager include during an in-service educational presentation for the nursing staff? 1. "Policies have been developed for using massage and aromatherapy." 2. "When patients ask questions you don't know, tell them to look online." 3. "Because herbs are dangerous during pregnancy, we will not use them." 4. "Be sure to ask patients what alternative therapies they have used."