The patient's prescription and over-the-counter drugs should be reviewed.
The nurse's best approach to an older adult client with significant cognitive impairment has been hospitalized for surgery to assess for pain postoperatively is by reviewing the patient's prescription and over-the-counter drugs.
- Think about any that might be causing cognitive problems.
- Consider whether anticholinergics, antihistamines, opioids, sedatives, and benzodiazepines are still necessary.
- To prevent undertreatment and overdosing, consider whether the patient takes their meds as directed, if a pill organizer is being utilized, and if a caregiver monitors medication intake.
- Be aware that pharmacological treatment results are often modest and may be accompanied by negative side effects.
- Analyze any behavioral issues.
- Check to see if a more controlled environment or other non-pharmacological methods could take the place of or postpone the use of antipsychotic drugs.
- Any off-label use of antipsychotic drugs in dementia patients should be done with extreme caution, and effectiveness and safety should be constantly monitored.
- If new medication is prescribed, schedule a follow-up session within a set duration (for example, 4 to 6 weeks). Since diminished self-awareness of cognitive decline is prevalent and reliable information transfer is more likely with the presence of a care partner, ask the patient to bring a family member or friend to every appointment who may serve as a care partner.
To learn more about cognitive impairment visit:
brainly.com/question/18629763
#SPJ4
Answer: The next most appropriate step would be a LUMBAR PUNCTURE.
Explanation:
A LUMBAR PUNCTURE is a medical procedure that is usually carried out by a trained health personnel. It is a procedure that is carried out in the lumbar region of the spinal cord to access and obtain the cerebrospinal fluid which is used for further diagnosis of an underlying disease or illness.
A LUMBAR PUNCTURE is often adviced when the symptoms of a disease is related to the central nervous system. From the symptoms observed from the 19-year-old woman at the emergency department which includes:
--> generalized headache which is increasing in intensity,
--> blurred vision,
--> intermittent diplopia,
--> vague dizziness.
--> bilateral papilledema and
--> normal MRI of the brain.
Since the MRI of the brain is normal, the most appropriate step to be taken by the health care provider is a lumbar puncture which enables a direct access to the cerebrospinal fluid. This would help to rule out an elevated intracranial pressure which may be the cause of the generalized headache which is increasing in intensity.
The infant should be screened immediately to determine whether treatment is necessary.
<h3>What is syphilis?</h3>
The disease called syphilis is a se-xually transmitted infection that is common in many adults. It could lead to several congenital problems when mothers have untreated syphilis.
The care that should be included for a newborn infant whose mother has had untreated syphilis since the second trimester of pregnancy is that the infant should be screened immediately to determine whether treatment is necessary.
Learn more about syphilis:brainly.com/question/13154433
#SPJ12
Answer:
Angle-Side-Angle Postulate
Explanation:
