Mr. Lacuna is a 83-year-old resident of a long-term care facility who has a diagnosis of moderate Alzheimer disease.
Mr. Lacuna's physician recently prescribed oral rivastigmine, but he was unable to tolerate the drug due to its gastrointestinal effects. As a result, he has been ordered the transdermal patch form of the medication. When administering this form of rivastigmine, the nurse should
A) teach Mr. Lacuna about the importance of rotating sites when he applies the patch.
B) teach Mr. Lacuna's family to apply a second patch if they notice an acute exacerbation of his confusion.
C) apply the patch to Mr. Lacuna's back to reduce the chance that he will remove it.
D) apply the patch to a mucous membrane to facilitate complete absorption.
Question 2
A nurse is assigned to a male patient in the critical care unit who is receiving mannitol. The patient complains of nausea accompanied by chest pain and shortness of breath. The nurse is aware that these manifestations may be symptoms of
A) osmotic nephrosis.
B) hypotension.
C) serum osmolarity.
D) water intoxication.
Critical thinking and implementing care
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