The client has been placed on Ativan. The nurse is planning a client instructional session. Which herbal preparation should the nurse emphasize that the client avoid taking with Ativan?

a. Kava kava
b. St. John's wort
c. Ginseng
d. Ginger


ANS: A
Kava kava in combination with Ativan will increase the sedation effects of the Ativan.

Nursing

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The nurse caring for a patient with severe mania anticipates that which neuromodulation therapy will likely be ordered for maintenance treatment?

1. Light therapy 2. Deep brain stimulation (DBS) 3. Electroconvulsive therapy (ECT) 4. Repetitive transcranial magnetic stimulation (rTMS)

Nursing

The patient is perspiring, has an increase in pulse and blood pressure, and states, "I am so worried about this operation, I can't think straight." What is the most appropriate nursing diagnosis for this patient?

a. Ineffective Individual Coping c. Powerlessness b. Anxiety d. Impaired Adjustment

Nursing

The nurse prepares to administer medication to the client who is recovering from a closed head injury. Which does the nurse implement before administering oral medication to prevent client aspiration of gastric contents? (Select all that apply.)

1. Observe the client's intake of solid food. 2. Palpate swallowing at level of the larynx. 3. Ask client to swallow small sips of water. 4. Observe chest during mealtime for dysphagia. 5. Ask client to swallow and observe client's neck. 6. Evaluate for impaired chewing or tongue control.

Nursing

Which of the following is one of the most important ways in which geriatric medicine differs from medical care delivered to younger patients?

A. compliance with medical advice B. availability of insurance coverage C. medication therapy D. cost of procedures

Nursing