The nurse caring for older patients would prepare to administer which medication as a short-term sleep aid?
a. Diazepam (Valium)
b. Diphenhydramine (Benadryl)
c. Chloral hydrate (Somnote)
d. The nurse would try other measures first
D
Benzodiazepines, hypnotics, and antihistamines all have serious side effects when taken by the older population. Especially in the confused patient, the nurse should try other comfort measures first, like sticking to an established nighttime routine to cue the patient to bedtime.
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A married couple is discussing alternatives for pregnancy prevention and has asked about fertility awareness methods. The nurse's most appropriate reply is:
1. "They are not very effective, and it is very likely that you will get pregnant.". 2. "They can be effective for many couples, but require motivation.". 3. "There are few advantages to these methods and several health risks.". 4. "You would be much safer going on the pill and not having to worry.".
A client with uncontrolled type 1 diabetes mellitus is at high risk for acidosis because of which of the following?
1. An elevated serum glucose level contributes to the osmotic retention of water. 2. The body cannot quickly metabolize the body fat that is broken down for energy. 3. The kidneys cannot excrete the excess glucose effectively. 4. The liver continues to break down glycogen to glucose.
Which medication would be best for the nurse to administer before a dressing change for the severely burned child?
a. Codeine b. Benadryl c. Morphine d. Acetaminophen
A nurse instructs the patient about which expected skin changes during pregnancy?
a. Nipples becoming thicker b. Hands and feet becoming pale and cool c. Blotchy, brown pigmentation of the abdomen d. Stretch marks on the expanding abdomen