The nurse should complete a detailed cognitive assessment on an elderly client before surgery because (Select all that apply)
a. confusion and psychosis are commonly seen in postoperative elderly clients.
b. elders often experience intraoperative strokes.
c. neurologic changes resulting from surgery can last longer in an older client.
d. temporarily impaired cognition can be mistaken for a neurologic event.
C, D
The effects of an operation and its associated medications can cause temporary cognitive deficits that can be mistakenly attributed to permanent conditions in the elderly, such as stroke or de-mentia. These temporary changes are seen in most clients and are considered normal, but may last longer in an elderly client than in younger clients. The nurse should conduct and document a thorough neurologic status exam preoperatively, and nurses who encounter the client postopera-tively should use those data as a baseline. Psychosis is not a common condition seen in the el-derly, nor do they experience intraoperative strokes on a frequent basis.
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Phenothiazines were discovered in what year? _______________________
Answer:
An older client is experiencing abdominal discomfort and is seen for an office visit by the nurse practitioner. When assessing the abdomen the nurse should
A) begin palpation in the area where the pain is most severe. B) use moderate pressure throughout the palpation. C) first check for rebound tenderness. D) use very light palpation starting in the area farthest from the pain.
The nurse who is beginning oral feedings on a client who is returning to consciousness will
a. begin feedings with water. b. place about 1 teaspoon of liquid in the front of the mouth. c. position the client upright. d. stroke the posterior neck to promote swallowing.
The Food and Drug Administration classifies drugs by category, and these categories and drugs are found in the "Orange Book." To find out which drugs treat hypertension, the nurse would look under which classification?
1. Cardiac 2. Pharmacologic 3. Disease 4. Therapeutic