A nurse has used the Geriatric Depression Scale (short form) to assess an older adult client for depression. Which score would lead the nurse to suspect that the client is mildly depressed?
A) 3
B) 5
C) 8
D) 13
C
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A patient takes lithium daily. The nurse should monitor the patient for:
a. pharyngitis, mydriasis, and dystonia. b. alopecia, purpura, and drowsiness. c. diaphoresis, weakness, and nausea. d. ascites, dyspnea, and edema.
The client has been taking lithium and fluoxetine (Prozac) for almost a week. During today's assessment, the nurse notes a temperature of 39° C, muscle rigidity, and confusion. The client's signs and symptoms suggest
1. dystonic reactions. 2. pyramidal side effects. 3. extrapyramidal side effects. 4. neuroleptic malignant syndrome.
The parents of a 7-year-old girl with type 1 diabetes has been recording her blood glucose measurements before meals and at bedtime for the past 4 days; they are as follows:
Monday Tuesday Wednesday Thursday B: 120 mg/dL 135 mg/dL 124 mg/dL 200 mg/ dL L: 110 mg/dL 120 mg/dL 140 mg/dL 220 mg/dL D: 90 mg/dL 140 mg/dL 130 mg/dL 200 mg/dL Bed: 110 mg/dL 110 mg/dL 160 mg/dL 240 mg/dL The parents bring the child in for a follow-up visit and show the nurse the results. Based on the results, the nurse would need to obtain additional information from the parents and child about which day? A) Monday B) Tuesday C) Wednesday D) Thursday
An older female patient is experiencing episodes of urinary incontinence. What should this indicate to the nurse?
A. The result of having several children B. An abnormal finding requiring further testing C. The presence of a urinary infection D. A normal outcome of the aging process