Author Question: The elderly spouse of a 74-year-old male client states that she has noticed that her husband doesn't ... (Read 21 times)

Coya19@aol.com

  • Hero Member
  • *****
  • Posts: 601
The elderly spouse of a 74-year-old male client states that she has noticed that her husband doesn't remember as well as he used to.
 
   She explains that he has been putting on his coat before his shirt, and that he can never get their checkbook to balance as it did in the past. The client is exhibiting signs and symptoms typical of: a. Vascular dementia
  b. Alzheimer's disease
  c. Acute delirium
  d. Aging

Question 2

The nurse records this entry in a patient's progress notes: Patient escorted to unit by ER nurse at 2130 . Patient's clothing was dirty. In interview room, patient sat with hands over face, sobbing softly.
 
  Did not acknowledge nurse or reply to questions. After several minutes, abruptly arose, ran to window, and pounded. Shouted repeatedly, Let me out of here. Verbal intervention unsuccessful. Order for stat dose 2 mg haloperidol PO obtained; medication administered at 2150 . By 2215, patient stopped shouting and returned to sit wordlessly in chair. Patient placed on one-to-one observation. How should this documentation be evaluated? a. Uses unapproved abbreviations
  b. Contains subjective material
  c. Too brief to be of value
  d. Excessively wordy
  e. Meets standards



bulacsom

  • Sr. Member
  • ****
  • Posts: 329
Answer to Question 1

B
The person with Alzheimer's disease commonly shows deficits in familiar tasks. Vascular dementia and acute delirium relate more to confused states, and dementia symptoms should not be assumed to be part of normal aging.

Answer to Question 2

E
This narrative note describes patient appearance, behavior, and conversation. It mentions that less-restrictive measures were attempted before administering medication and documents patient response to medication. This note would probably meet standards. A complete nursing assessment would be in order as soon as the patient is able to participate. Subjective material is absent from the note. Abbreviations are acceptable.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question


 

Did you know?

By definition, when a medication is administered intravenously, its bioavailability is 100%.

Did you know?

Though “Krazy Glue” or “Super Glue” has the ability to seal small wounds, it is not recommended for this purpose since it contains many substances that should not enter the body through the skin, and may be harmful.

Did you know?

Every 10 seconds, a person in the United States goes to the emergency room complaining of head pain. About 1.2 million visits are for acute migraine attacks.

Did you know?

Bacteria have been found alive in a lake buried one half mile under ice in Antarctica.

Did you know?

Acetaminophen (Tylenol) in overdose can seriously damage the liver. It should never be taken by people who use alcohol heavily; it can result in severe liver damage and even a condition requiring a liver transplant.

For a complete list of videos, visit our video library