Author Question: The nurse is reviewing new medication orders for several patients in a long-term care facility. ... (Read 575 times)

aabwk4

  • Hero Member
  • *****
  • Posts: 593
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

  • Sr. Member
  • ****
  • Posts: 329
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.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question

aabwk4

  • Hero Member
  • *****
  • Posts: 593
Both answers were spot on, thank you once again




 

Did you know?

Though Candida and Aspergillus species are the most common fungal pathogens causing invasive fungal disease in the immunocompromised, infections due to previously uncommon hyaline and dematiaceous filamentous fungi are occurring more often today. Rare fungal infections, once accurately diagnosed, may require surgical debridement, immunotherapy, and newer antifungals used singly or in combination with older antifungals, on a case-by-case basis.

Did you know?

More than nineteen million Americans carry the factor V gene that causes blood clots, pulmonary embolism, and heart disease.

Did you know?

The calories found in one piece of cherry cheesecake could light a 60-watt light bulb for 1.5 hours.

Did you know?

Stevens-Johnson syndrome and Toxic Epidermal Necrolysis syndrome are life-threatening reactions that can result in death. Complications include permanent blindness, dry-eye syndrome, lung damage, photophobia, asthma, chronic obstructive pulmonary disease, permanent loss of nail beds, scarring of mucous membranes, arthritis, and chronic fatigue syndrome. Many patients' pores scar shut, causing them to retain heat.

Did you know?

Human kidneys will clean about 1 million gallons of blood in an average lifetime.

For a complete list of videos, visit our video library