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Author Question: The nurse is reviewing new medication orders for several patients in a long-term care facility. ... (Read 598 times)

aabwk4

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on: Jul 22, 2018
The nurse is reviewing new medication orders for several patients in a long-term care facility. Which patient does the nurse recognize as being at the highest risk for having cognitive impairment related to prescribed medications?
 
  a. The patient prescribed an antibiotic for a urinary tract infection.
  b. The patient prescribed a cholinesterase inhibitor for early Alzheimer's disease.
  c. The patient prescribed a beta-blocker for hypertension.
  d. The patient prescribed a bisphosphonate for osteoporosis.

Question 2

The nurse is assessing the social support of a patient who is recently divorced and has moved from their hometown to the city due to change in jobs. Which response related to social support would be most therapeutic?
 
  a. Encourage the patient to begin dating again, perhaps with members of her church.
  b. Discuss how divorce support groups could increase coping and social support.
  c. Note that being so particular about potential friends reduces social contact.
  d. Discuss using the Internet as a way to find supportive others with similar values.


jaykayy05

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Reply #1 on: Jul 22, 2018
Answer to Question 1

ANS: C
Anti-hypertensives such as the beta-blockers can cause adverse changes in cognition. While an infection can affect cognition, antibiotics do not generally cause cognitive changes. The cholinesterase inhibitors are prescribed to slow the progression in cognitive decline for patients diagnosed with Alzheimer's disease. Bisphosphonates are used for osteoporosis and are not generally a risk for altered cognition.

Answer to Question 2

ANS: B
High-quality social support enhances mental and physical health and acts as a significant buffer against distress. Low-quality support relationships are known to affect a person's coping effectiveness negatively. Resuming dating soon after a divorce could place additional stress on the patient rather than helping them cope with existing stressors. Developing relationships on the Internet probably would not substitute fully for direct contact with other humans and could expose the patient to predators misrepresenting themselves to take advantage of vulnerable persons.


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aabwk4

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Reply #2 on: Jul 22, 2018
Both answers were spot on, thank you once again


jaykayy05

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Reply #3 on: Jul 22, 2018
Great! Please up vote :D


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