An older client was recently discharged from the hospital for evaluation of seizure activity. His history reveals that he has late-stage Alzheimer's disease, Parkinson's disease, hypertension, and type II diabetes mellitus, which is controlled by diet. He lives at home, where his wife and daughter take care of him. His discharge medications include phenytoin (Dilantin), 100 mg BID; hydrochlorothiazide (HydroDIURIL), 50 mg QD; levodopa (Sinemet), 25/100 TID; and haloperidol (Haldol), 1 mg before bed. The client has been referred for home care nursing follow-up.
Questions:
On the initial home visit by the nurse, what assessments should be made?
The wife and daughter need teaching about his antiepileptic medication. What teaching should be included?
During the initial home visit, the client experiences a generalized seizure. What action should the nurse take?
An older client was recently discharged from the hospital for evaluation of seizure activity. His history reveals that h...
An older client was recently discharged from the hospital for evaluation of seizure activity. His history reveals that he has late-stage Alzheimer's disease, Parkinson's disease, hypertension, and type II diabetes mellitus, which is controlled by diet. He lives at home, where his wife and daughter take care of him. His discharge medications include phenytoin (Dilantin), 100 mg BID; hydrochlorothiazide (HydroDIURIL), 50 mg QD; levodopa (Sinemet), 25/100 TID; and haloperidol (Haldol), 1 mg before bed. The client has been referred for...
Antiparkinsonian Drugs Chapter 28 Discussion: Antiparkinson Drugs Mr. Stevens is a 70-year-old client was admitted to the hospital after a fall at his home. After a comprehensive assessment, the healthcare provider has diagnosed him with idiopathic Parkinson's disease. His symptoms include tremors of the hands, a shulling gait, and slow movements. He has been started on the drug carbidopa/levodopa. He is now ready to be discharged home. The nurse is conducting discharge teaching with Mr. Stevens and his wife. Mrs....
431. Which of the following conditions assessed by the nurse would contraindicate the use of benztropine (Cogentin)? A. Neuro malignant syndrome B. Acute extrapyramidal syndrome C. Glaucoma, prostatic hypertrophy D. Parkinson’s disease, atypical tremors 432. The nurse is caring for a post - op colostomy client. The client begins to cry, saying “I’ll never be attractive again with this ugly red thing. “What shoul d the first action taken by the nurse? A. Arrange a consultation with a sex therapist...
420. A 42 year old patient is admitted to the emergency department (ED. following being mugged. The patient received blunt trauma to the face and has clear fluid draining from the right nostril. What does the ED nurse know to assess this fluid for? A. Sodium B. Protein C. Calcium D. Glucose 421. As an asthma educator, you are teaching a patient newly diagnosed with asthma and her family about the use of a peak flow meter. What does a...
Case Study - Kim kim is a 34-year old woman, presents with a four-month history of pain in her hands and knees. Kim's background Smokes 12 cigarettes a day Alcohol occasionally No allergies No regular medication Family history of psoriasis (father); one brother who is well Husband well but works away from home Two children aged 11 and 13, well and helping with household duties Not coping, tearful, anxious Kim's history Location of Hands and knees pain? Onset? The pain...