An older client has been receiving cimetidine (Tagamet). The nurse should report to the physician that the client is experiencing a side effect of the medication if which of the following is noted during the assessment?
1. Tremors
2. Stiff joints
3. Confusion
4. Constipation
3
Rationale: Older clients are especially susceptible to central nervous system (CNS) side effects of cimetidine; the most frequent of these is confusion. Additionally, renal impairment in this population further increases this risk for confusion. Less common CNS side effects include headache, dizziness, drowsiness, and hallucinations.
You might also like to view...
Hemorrhage of tiny arteries in the __________ may cause marked visual disturbances or blindness
Fill in the blank(s) with correct word
Dr. Jones asks you to give a medication to one of the patients, and you know the patient is allergic to it. When you point this out, Dr. Jones says, "Give the medication or I'll report this to your supervisor."
What is the best assertive response? a. Agree to give the medication and hope no one finds out. b. Say, "I won't give the medication, and I don't care who you talk to about it.". c. Walk away and ignore Dr. Jones. d. Say, "Perhaps you and I could talk this over with my supervisor together.".
A nurse is providing care for a patient who has just had surgery. The nurse understands that the patient's wound will need to be closely monitored for infection because it falls under the classification of
1. Open wounds. 2. Closed wounds. 3. Contusion wounds. 4. Laceration wounds.
For which child would nonopioid analgesics be recommended?
A) A child with juvenile arthritis B) A child with end-stage cancer C) A child with a broken arm D) A child with severe postoperative pain