nurse reviews the healthcare providas (HP) prescription for donepezil and gives the medication as prescribes. Which nursing interventions) is are appropriate for the dient staring donepezil? Select all that apply- The dient is in the hospital after her house collapsed during a hurpicane. She has been in the intensive care unit for 2 weeks and moved today to the surgical fioor to continue monitoring her respiratory function and to complete IN antibiotic administration. • A Screen for orthostatic hypotension B Monitor calcium levels C Assess mental status regularly D Assist the dient to the bathroom E Have an opioid agonist at the bedside F Provide oral care at lest twice a day
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Diazepam is a benzodiazepine, commonly used for its anxiolytic, muscle relaxant, and sedative properties. Here are the appropriate interventions: A. **Screen for orthostatic hypotension**: Benzodiazepines can cause dizziness and lightheadedness, which may lead to Show more…
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The nurse is caring for a client experiencing a panic attack who requests something to help them feel better. What medication does the nurse anticipate being prescribed? Diazepam Zolpidem Cyclobenzaprine Phenobarbital
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During your assessment, you ask Hilda what dietary restrictions (if any) she has been following for her hypertension and diabetes. What type of historical information does this provide? Lab history Medical history Social history Diet history 2. What questions about her social history would be important to know in your nutrition assessment? Who lives with her to help with cooking and shopping. What foods she is getting on her trays. How many pregnancies she had. If she had prior surgeries. 3. Which physical assessment finding in the case study is the most accurate indicator of fluid imbalance in her body? %IBW = 223% Presence of edema Low water intake reported prior to admission Low albumin 4. Which labs would be most helpful to use with your physical assessment to identify her fluid status? Serum electrolytes Glycated hemoglobin (HA1C) Red Blood Cell count Serum proteins 5. What would be the most important nutrition problem to address if we are concerned about her healing post open heart surgery? Malnutrition History of hypertension Medication history Obesity 6. Since high blood sugars can impair healing and increase infection risk, which lab should be requested to determine if her blood sugars are currently in range? Blood Urea Nitrogen C-reactive protein Glycated hemoglobin (HA1c) Serum glucose 7. Which of the following assessment measures in the case study identifies the risk of malnutrition? Hilda’s edema dilutes lab values. Hilda is NPO for one day prior to surgery. Hilda’s %UBW of 91% indicates significant weight loss. Hilda’s %IBW of 223% shows excess weight. 8. What another measure could be obtained to strengthen the assessment for malnutrition? Physical assessment of head, hands, and upper body to identify muscle loss. Prescribed medications to identify interactions. C-reactive protein to identify signs of inflammation 9. Which statement would be an appropriate measurable goal for Hilda’s weight after surgery? Hilda will be placed on a calorie control diet to maintain her weight. Hilda will lose two pounds per week. Hilda will maintain her weight between 285-295 pounds. Hilda will improve her oral intakes to increase weight back to 320 pounds. 10. To meet the goal of maintaining Hilda’s weight, what intervention would be appropriate for the nurse? Weigh her regularly. Assess for nutritional adequacy in her diet. Order labs to assess protein status. Write a diet order for her to receive food.
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