A 69-year-old was prescribed a benzodiazepine 3 years ago. This medication regimen increases the patients risk for injury related to drug abuse and requires frequent patient assessment for which of the following? (Select all that apply.)
Easy bleeding
Shortness of breath
Forgetfulness
Daytime sleepiness
Unsteady gait
Correct Answer : B,D,E
A. Easy bleeding is not a common side effect or concern associated with benzodiazepines. This symptom is more typically associated with anticoagulant medications or conditions affecting blood clotting. While it’s essential to monitor for side effects, easy bleeding is not directly related to benzodiazepine use.
B. Shortness of breath is not a typical side effect of benzodiazepines. However, it is important to monitor respiratory function in patients on any medication, especially if there are signs of respiratory distress or if the patient is on other medications that might interact with benzodiazepines. A
C. Benzodiazepines are known to cause cognitive impairments, including forgetfulness. This is particularly concerning in older adults, who may be more vulnerable to cognitive side effects. Memory issues and confusion can impact daily functioning and increase the risk of accidents and falls.
D. Daytime sleepiness is a common side effect of benzodiazepines due to their sedative properties. This side effect can significantly affect daily activities and increase the risk of falls and accidents. It’s essential to monitor patients for excessive drowsiness, as it can impact their safety and overall quality of life.
E. Benzodiazepines can cause motor impairment, including unsteady gait and increased risk of falls. This is particularly problematic in older adults who may already have decreased balance and coordination. Monitoring for unsteady gait is crucial to prevent falls and other injuries related to impaired mobility.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. When faced with a situation where a patient's family refuses medical care, it is important to follow the facility's policies and procedures. In many cases, the hospital social worker can be a valuable resource in helping to resolve such situations. The social worker can provide support to the family, help them understand the importance of medical care, and advocate for the patient's best interests.
B. While it is important to respect the family's cultural and religious beliefs, it is also important to ensure that the patient receives the necessary medical care. Allowing the family to pray with the patient is appropriate, but the patient should still receive medical attention for their broken arm.
C. This is not a appropriate course of action. While the patient has a right to receive medical care, it is important to approach the situation with respect and compassion, and to try to work with the family to find a solution that is in the best interests of the patient.
D. This could escalate the situation and make it more difficult to resolve. It is important to approach the situation with empathy and understanding, and to try to work with the family to find a solution that is acceptable to all parties.
Correct Answer is C
Explanation
A. This action demonstrates a willingness to understand and respect the patient’s cultural beliefs. By asking for more details, the nurse shows interest in the patient's perspective and opens a dialogue to better understand the cultural context of their health beliefs.
B. This action involves the nurse taking the initiative to understand the cultural practices and dietary beliefs of the patient. By researching these beliefs, the nurse can gain insight into how the patient's culture views dietary management and how it might be integrated into their overall care. However, while researching is valuable, it does not directly engage with the patient’s beliefs or preferences in a clinical context.
C. By discussing how to incorporate the patient’s dietary preferences into their treatment plan, the nurse is showing respect for the patient's cultural beliefs while still working within the medical framework. This approach helps to integrate the patient’s cultural practices with conventional medical treatment, fostering a collaborative approach to care.
D. This action is also a good example of cultural accommodation. By involving a registered nutritionist, the nurse is providing the patient with professional guidance that aligns with their cultural beliefs about dietary management. This approach respects the patient’s preferences and provides expert advice on how to incorporate those preferences into a medically sound treatment plan.
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