Medication reconciliation of an 82-year-old man who has recently moved to a long-term care facility reveals that the man takes 1 to 2 mg of lorazepam bid prn
The nurse should recognize what consequence of this aspect of the resident's drug regimen?
A) Cold intolerance
B) Increased risk for falls
C) Risk for paradoxical aggression
D) Anorexia
B
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An important facet of nursing care for a client with delirium who has fluctuating levels of
consciousness, disturbed orientation, and perceptual alterations is a. avoidance of physical contact. b. application of wrist and ankle restraints. c. careful observation and supervision. d. a high level of sensory stimulation.
The brother of a terminally ill client states, "I'll donate a million dollars to the hospital if they cure my brother.". The nurse realizes this statement is indicative of which phase of Kubler-Ross's loss stages?
1. Bargaining 2. Denial 3. Anger 4. Acceptance
The nurse was teaching refusal skills, coping with peer pressure, and avoiding certain situations. A group of parents visiting the school asked why the nurse was using their tax dollars to teach social skills. What might the nurse need to explain?
a. These skills help students avoid smoking, use of drugs, and early sexual intercourse. b. The nurse was providing information that the teacher had requested. c. The nurse was fulfilling state-mandated standards under the No Child Left Behind Act. d. These students had been identified as being at high risk and needed this education.
A 65-year-old patient who receives glucocorticoids for arthritis is admitted to the hospital for treatment of a urinary tract infection. The prescriber has ordered intravenous ciprofloxacin (Cipro)
Before administering the third dose of this drug, the nurse reviews the bacterial culture report and notes that the causative organism is Escherichia coli. The bacterial sensitivity report is pending. The patient complains of right ankle pain. What will the nurse do? a. Withhold the dose of ciprofloxacin and notify the provider of the patient's symptoms. b. Instruct the patient to exercise the right foot and ankle to minimize the pain. c. Question the patient about the consumption of milk and any other dairy products. d. Request an order to increase this patient's dose of glucocorticoids.