A nurse is caring for a 92-year-old patient who is taking multiple drugs and displaying increased cognitive impairment and memory loss. The initial action of the nurse would be to
A) try to distinguish between normal signs of aging and the adverse drug effects.
B) report adverse effects of drug therapy to the prescriber.
C) wait several days to see if the symptoms subside.
D) hold the patient's medications until a doctor can see the patient.
A
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An adolescent female is diagnosed with fibrocystic breast disease. What advice can the nurse provide the adolescent about this diagnosis?
A) Caffeine may increase the size of lesions. B) Fibrocystic lesions are precancerous lesions. C) Lesions will fade with the full growth of breasts. D) The lesions make breast self-examination ineffective.
Physical examination related to the hematologic system of the adult client should include inspection of the: Select all that apply
1. Skin. 2. Head and neck. 3. Chest. 4. Abdomen. 5. Feet and legs.
For which person is an episodic or follow-up assessment indicated?
a. The person who had abdominal surgery yesterday b. The person who is unaware of his high serum glucose levels c. The person who is being admitted to a long-term care facility d. The person who is beginning rehabilitation after a knee replacement
When assessing the client with Bell's palsy, the nurse anticipates which of the following findings?
1. Fine tremors of the hand; pill rolling of the fingers; and cog wheeling of extremities 2. Unilateral facial paralysis with sagging; inability to close the eye or wrinkle the forehead 3. Loss of memory and inability to plan, organize, and sequence; irritability 4. Lower-extremity weakness progressing in an ascending pattern to the upper body