Author Question: A 70-year-old patient has just received a drug that can cause sedation. What would be the priority ... (Read 51 times)

Kikoku · **on:** Jul 23, 2018

A 70-year-old patient has just received a drug that can cause sedation. What would be the priority nursing diagnosis for this patient?

A) Noncompliance: Cost of the drug
B) Deficient knowledge: Unfamiliar with drug therapy
C) Risk for injury: Related to adverse effects of the drug
D) Ineffective health maintenance: Need for medication

Question 2

A nurse is caring for a 45-year-old patient with acute respiratory distress syndrome (ARDS). The nurse is aware that this disease is characterized by what?

A) Accumulation of copious amounts of very thick secretions in the lungs
B) Loss of elastic tissue of the lungs and destruction of alveolar walls
C) Progressive loss of lung compliance and increasing hypoxia
D) Reversible bronchospasm, inflammation, and hyperactive airways

tranoy · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

C
Feedback:
Because of the patient's age and that the medication causes sedation, the highest priority nursing diagnosis is related to maintaining the patient's safety. Safety for the patient is the nurse's number one concern. There is nothing indicated related to the cost of the drug or the risk of noncompliance for this patient. Deficient knowledge will need to be addressed but it is not the priority when compared with patient safety. There is no indication the patient's need for this medication is related to an ineffective health maintenance issue.

Answer to Question 2

C
Feedback:
ARDS is characterized by progressive loss of lung compliance and increasing hypoxia and occurs as a result of a severe insult to the body. Accumulation of copious amounts of thick secretions in the lungs is associated with cystic fibrosis. Chronic obstructive pulmonary disease (COPD) is characterized by loss of the elastic tissue of the lung, destruction of alveolar walls, and hyperinflation with tendency to collapse with expiration. Reversible bronchospasm, inflammation, and hyperactive airways are characteristics of asthma.