A client is seen at the ambulatory care clinic. During the data ...

[khang]

A client is seen at the ambulatory care clinic. During the data collection, the client reports having abruptly stopped taking Aricept due to financial concerns.
 
  Based upon this information, what focal points should be included in the assessment? 1. Assessment of cognitive decline
   2. Cardiovascular insufficiency
   3. Hyperreflexia
   4. Insomnia

Question 2

A client admitted to the hospital after being involved in a motor vehicle collision develops hypotension and severe jugular distension with a tracheal deviation. What does the nurse suspect has occurred?
 
  1. Hemorrhage
   2. Tension pneumothorax
   3. Compensatory shock
   4. Hypovolemic shock

[sierrahalpin]

Answer to Question 1

1. Assessment of cognitive decline

Rationale:
Abrupt cessation of Aricept is associated with a reduction in cognitive abilities. Cardiovascular, neurological, and sleep pattern alterations are not associated with the abrupt cessation of Aricept.

Answer to Question 2

2. Tension pneumothorax

Rationale:
A tension pneumothorax is life threatening and requires immediate intervention. On inspiration, air enters the pleural space, does not escape on expiration, and increases the intrapleural pressure. This pressure collapses the injured lung and shifts the mediastinal contents, compressing the heart, great vessels, trachea, and eventually the uninjured lung. Tracheal deviation and jugular vein distention are not associated with hemorrhage, compensatory shock, or hypovolemic shock.