1-A nurse is caring for a client prescribed a medication that has anticholinergic effects. What are anticholinergic effects and what nursing interventions should be taken for this client?
Anticholinergic drugs are used when the level of neurotransmitter acetylcholine is low in the body. It primarily used to treat extrapyramidal symptoms (EPS) induced by antipsychotic in the treatment of psychosis and schizophrenia. Anticholinergic is used to treat client with Asthma, incontinence, gastrointestinal cramps, and muscular spasms and some used for the treatment of depression and sleep disorders.
The nurse need to monitor the client vital signs for tachycardia, fluid intake and output, encourage client to dink fluid and to report any symptoms of …show more content…
Nurse to provide reassurance and comfort to the anxious client. Offer to stay with the client and provide assistant when physical needs need to be met. When speaking to the client talk slow and be calm. Also give client time to respond and be a good listener.
3-A client is at risk for a deep vein thrombosis. What is the priority assessment for this client? Describe the procedure to use when applying elastic stockings (TEDS). The priority assessment for this client is to give them repeated pressure to prevent blood clotting to develop in the deep veins.
Assess the patient for sign and symptoms of calf pain or leg pain, swelling and discomfort.
When applying elastic stockings client need to lay down while applying the stocking, turn the stocking inside out at toe area, Places the toe of stocking over toes and supporting foot pulls stocking over foot, heel, and legs. Moves foot and leg gently and naturally avoiding force and over extension of limb and joints. Make sure there is no twists or wrinkles on the legs and …show more content…
would be included when a client has been prescribed a mechanical soft diet.
5-A nurse is caring for a client with dementia who is non-verbal. What objective assessment data would indicate pain in this client?
The objective assessment data that would indicate pain in this client are expressions such as grimacing, moaning, crying, decreased attention span. Blood pressure pulse and respiratory rate increase temporarily with acute
Anticholinergic drugs are used when the level of neurotransmitter acetylcholine is low in the body. It primarily used to treat extrapyramidal symptoms (EPS) induced by antipsychotic in the treatment of psychosis and schizophrenia. Anticholinergic is used to treat client with Asthma, incontinence, gastrointestinal cramps, and muscular spasms and some used for the treatment of depression and sleep disorders.
The nurse need to monitor the client vital signs for tachycardia, fluid intake and output, encourage client to dink fluid and to report any symptoms of …show more content…
Nurse to provide reassurance and comfort to the anxious client. Offer to stay with the client and provide assistant when physical needs need to be met. When speaking to the client talk slow and be calm. Also give client time to respond and be a good listener.
3-A client is at risk for a deep vein thrombosis. What is the priority assessment for this client? Describe the procedure to use when applying elastic stockings (TEDS). The priority assessment for this client is to give them repeated pressure to prevent blood clotting to develop in the deep veins.
Assess the patient for sign and symptoms of calf pain or leg pain, swelling and discomfort.
When applying elastic stockings client need to lay down while applying the stocking, turn the stocking inside out at toe area, Places the toe of stocking over toes and supporting foot pulls stocking over foot, heel, and legs. Moves foot and leg gently and naturally avoiding force and over extension of limb and joints. Make sure there is no twists or wrinkles on the legs and …show more content…
would be included when a client has been prescribed a mechanical soft diet.
5-A nurse is caring for a client with dementia who is non-verbal. What objective assessment data would indicate pain in this client?
The objective assessment data that would indicate pain in this client are expressions such as grimacing, moaning, crying, decreased attention span. Blood pressure pulse and respiratory rate increase temporarily with acute