A nurse has just administered a barbiturate to an elderly debilitated patient. The nurse understands that the patient is likely to exhibit
a. suicidal tendencies.
b. hangover effects.
c. paradoxical excitement.
d. hyperalgesia.
ANS: C
In some patients, including the elderly and debilitated individuals, barbiturates may cause excitation, a paradoxical response.
Suicidal tendencies are not commonly associated with barbiturate use in the elderly.
Hangover and hyperalgesia are not specific to the elderly debilitated patient as they relate to barbiturate use.
You might also like to view...
Treatment of the client who had a fat embolism from a fracture consists of bed rest, oxygen, and:
a. traction b. intravenous (IV) fluids c. surgery d. passive exercises of all nonaffected joints
Many of the clinical features of Down syndrome present challenges to caregivers. Based on these features, what intervention should be included in the child's care?
a. Delay feeding solid foods until the tongue thrust has stopped. b. Modify the diet as necessary to minimize the diarrhea that often occurs. c. Provide calories appropriate to the child's mental age. d. Use a cool-mist vaporizer to keep the mucous membranes moist and secretions liquefied.
A 78-year-old nursing home resident with hypertension and cardiac disease is usually alert and oriented. This morning, however, the resident says, "My family visited during the night. They stood by the bed and talked to me."
In reality, the patient's family lives 200 miles away. The nurse should first suspect that the resident: a. may have a cognitive impairment associated with medication effects. b. may be developing Alzheimer‘s disease associated with advanced age. c. had a transient ischemic attack and developed sensory perceptual alterations. d. has a previously unidentified alcohol dependency and is beginning alcohol withdrawal delirium.
During the partner phase of leadership making, the leader and subordinate have reciprocal
influence on each other. a. True b. False