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titi11183 titi11183
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6 years ago
An older adult patient developed delirium secondary to diphenhydramine (Benadryl) use
 
  The patient usually took this drug for allergies but recently added a cough syrup that also contained the drug. What information is most important to teach the family?
  a. Older adults are more prone to delirium.
  b. The patient is now susceptible to progressive cognitive decline.
  c. Toxic medication levels often occur because of slower metabolism in older adults.
  d. The older adult brain has fewer neurotransmitters than the brain of a younger person.

Question 2

Family members of an individual undergoing a 30-day alcohol rehabilitation program ask, How can we help? Select the nurse's best response.
 
  a. Alcoholism is a lifelong disease. Relapses are expected.
  b. Use search-and-destroy tactics to keep the home alcohol free.
  c. Prevent embarrassment by covering for your loved one's lapses.
  d. Make your loved one responsible for the consequences of his or her behavior.

Question 3

A combat veteran with TBI, depression, and anxiety begins new prescriptions for sertraline (Zoloft) and lorazepam (Ativan). In recognition of potential long-term repercussions, the nurse should provide teaching related to which topic?
 
  a. Nonpharmacologic strategies for managing anxiety
  b. Identifying signs and symptoms of hepatotoxicity
  c. Recognizing evidence of tardive dyskinesia
  d. Strategies for preventing obesity

Question 4

An older adult presents with symptoms of delirium. The family says, Everything was fine until yesterday. The most important assessment information to gather is
 
  a. a list of medications the patient currently takes.
  b. whether or not the patient has experienced any recent losses.
  c. whether or not the patient has ingested aged or fermented foods.
  d. the patient's recent personality characteristics and changes.

Question 5

A patient asks, How does Alcoholics Anonymous (AA) work? Select the nurse's best response.
 
  a. The goal of AA is for members to learn controlled drinking with the support of a higher power.
  b. An individual is supported by peers while striving for abstinence one day at a time.
  c. You must make a commitment to permanently abstain from alcohol and other drugs.
  d. You will be given a sponsor who will plan your treatment program.
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Replies
wrote...
6 years ago
Answer to #1

C
Older adult patients metabolize drugs more slowly as a result of declining liver function. Excretion might also be slowed. Drugs might accumulate until toxic levels are reached and cognitive symptoms appear. Anticholinergic drugs, antihistamines, and antiarrhythmia drugs are of particular concern. For this reason, families need to be aware of the drugs that older adults are using and the possible interactions among the drugs, and be alert for early symptoms of cognitive disturbance. Although older adults are more prone to delirium, it's important to provide more specific information to the family. None of the other options are correct.

Answer to #2

D
Often the addicted individual has been enabled when others picked up the pieces for him or her. The individual never faced the consequences of his or her own behaviors. Learning to face those consequences is part of the recovery process. The other options are co-dependent behaviors or are of no help.

Answer to #3

A
Lorazepam is a benzodiazepine, which has a high probability of causing dependence if taken long term. The nurse should teach nonpharmacologic strategies for managing anxiety to facilitate the patient's readiness to discontinue the lorazepam. Tardive dyskinesia is associated with antipsychotic drugs. Weight gain is associated with atypical antipsychotic drugs. Hepatotoxicity is not a likely complication.

Answer to #4

A
Delirium is often the result of medication interactions or toxicity. The distracters relate to monoamine oxidase inhibitor therapy and pseudodementia.

Answer to #5

B
Admitting to being an alcoholic, making an attempt to remain alcohol-free for a day at a time, and receiving support from peers are basic aspects of AA. The other options are incorrect.
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