An older client has been receiving cimetidine (Tagamet). The ...

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An older client has been receiving cimetidine (Tagamet). The nurse should report to the physician that the client is experiencing a side effect of the medication if which of the following is noted during the assessment?
 
  1. Tremors
  2. Stiff joints
  3. Confusion
  4. Constipation

Question 2

A client who was receiving enteral feedings in the hospital has been started on a regular diet and is almost ready for discharge. The client will be self-administering supplemental tube feedings between meals for a short time after discharge.
 
  When the client expresses concern about his or her ability to perform this procedure at home, the nurse would best respond with which of the following? 1. Tell me more about your concerns about going home.
  2. Do you want to stay in the hospital a few more days?
  3. Maybe a friend will do the feeding for you.
  4. Have you discussed your feelings with your family and doctor?

[carolinefletcherr]

Answer to Question 1

3

Rationale: Older clients are especially susceptible to central nervous system (CNS) side effects of cimetidine; the most frequent of these is confusion. Additionally, renal impairment in this population further increases this risk for confusion. Less common CNS side effects include headache, dizziness, drowsiness, and hallucinations.

Answer to Question 2

1

Rationale: A client often has fears about leaving the secure environment of a health care facility. This client has a specific fear about not being able to handle tube feedings at home. An open communication statement such as Tell me more about... often leads to valuable information about the client and his or her concerns. Maybe a friend will do the feeding for you. and Have you discussed your feelings with your family and doctor? are nontherapeutic responses because they place the client's issues on hold. Do you want to stay in the hospital a few more days? is beyond the scope of practice for the nurse to implement and may not be necessary.

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TYSM

[Jossy]

Excellent