A nurse is planning care for a 59-year-old woman who is on ranitidine therapy. The nurse is concerned for the patient's safety. Which of the following would be an appropriate nursing diagnosis?

A) Diarrhea related to adverse effects of drug therapy
B) Acute Pain related to adverse drug effects, headache
C) Risk for Injury related to drug-induced somnolence, dizziness, confusion, or hallucinations
D) Potential Complication: Electrolyte Imbalance related to hypophosphatemia, secondary to drug therapy


C

Nursing

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The spouse of a man being treated with sertraline (Zoloft) calls to report that he had a grand mal seizure. Prior to the seizure, he had seemed confused and his forehead felt hot. The man does not have a seizure-disorder history

Which action should the nurse direct the spouse to take? a. Monitor the patient and notify the clinic if there are more seizures. b. Hold all medications and call 911 for transportation to the hospital. c. Hold tonight's sertraline and encourage him to drink more fluids. d. Administer an antipyretic drug to lower his fever and prevent seizures.

Nursing

You are the nurse caring for an elderly patient with cardiovascular disease. The patient comes to the clinic with a suspected respiratory infection and is diagnosed with pneumonia

As the nurse, what do you know about the altered responses of older adults? A) Treatments for older adults need to be rapid and less intense than treatments used in the younger population. B) The altered responses of older adults reinforce the need for the nurse to monitor all body systems to ascertain signs of impending systemic complication. C) The altered responses of older adults define the nursing interactions with the patient. D) Older adults become hypersensitive to antibiotic treatments for infectious-disease states.

Nursing

A diabetic patient is receiving methylprednisolone (Solu-Medrol). What medication changes can the health care provider anticipate that this patient may require?

a. An increased dose of the corticosteroid b. A decreased dose of the corticosteroid c. An increased dose of the antidiabetic drug d. A decreased dose of the antidiabetic drug

Nursing

Which of the following interventions would be most effective in helping an older adult living alone to manage his medication regimen?

A) Ensure that a responsible person pre-pours the medication for the week into medication containers marked with the name of each day. B) Ask a neighbor or family member to monitor the client's medications. C) Review dosages and times with the client and have him repeat the information. D) Create a medication administration record so that the client can check off his medications as he takes them each day.

Nursing