A nurse is caring for an older adult client in a rehabilitation facility.
Select 1 condition and 1 client finding to fill in each blank in the following sentence.
The client may be prescribed
The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}
- Memantine: This medication is commonly used to treat cognitive symptoms associated with Alzheimer's disease and other forms of dementia, which can include memory loss, confusion, and difficulty with daily tasks.
- Cognitive changes: The client's symptoms of getting lost, difficulty speaking, and misplacing things suggest significant cognitive decline, which memantine can help manage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Auditory hallucinations are more commonly associated with psychosis rather than a depressive episode.
B. Inability to carry out simple tasks is a hallmark of a depressive episode due to low energy, poor concentration, and feelings of hopelessness.
C. Moving quickly from one idea to the next (flight of ideas) is characteristic of a manic episode, not a depressive episode.
D. Illusions of grandeur occur during manic episodes, not depressive episodes.
Correct Answer is C
Explanation
A. Ranitidine: An H2 receptor blocker, typically used to reduce stomach acid, is unnecessary since the stomach has been removed.
B. Vitamin K: Although important for clotting, vitamin K absorption is not significantly affected by total gastrectomy.
C. Vitamin B12: Clients require lifelong vitamin B12 supplementation (usually via intramuscular injections) after total gastrectomy to prevent deficiency and associated complications such as anemia and neurological impairments.
D. Metoclopramide: A prokinetic agent used to enhance gastric motility, which is not relevant after total gastrectomy.
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