A patient with gradual, progressive cognitive impairment ...

[abern]

A patient with gradual, progressive cognitive impairment (dementia) is admitted to the nursing unit after hip replacement surgery. Which of the following is a nursing care principle for care of cognitively impaired older adults?
 
  a. Maintain physical health.
  b. Evaluate the patient's manifestations of standard symptoms.
  c. Assist patient with all ADLs.
  d. Isolate patients to protect others.

Question 2

The nurse knows that an idiosyncratic event with the stimulant pseudoephedrine (Sudafed) is occurring when the patient
 
  a. Experiences blurred vision while driving.
  b. Falls asleep during daily activities.
  c. Presents with a pruritus rash.
  d. Develops xerostomia.

[amcvicar]

Answer to Question 1

A
The nurse works to monitor and maintain physical health. The nurse should also assess the person's unique manifestations of the disease as it progresses while facilitating independent performance of activities of daily living (ADLs). Social interaction based on the patient's abilities is to be promoted.

Answer to Question 2

B
An idiosyncratic event is a reaction opposite to what the side effects of the medication normally are, or the patient overreacts or underreacts to the medication. Blurred vision is a toxic effect. A rash could indicate an allergic reaction. Dry mouth is a typical response to a stimulant.

[abern]

Thanks for the timely response, appreciate it

[matt95]

Excellent