An elderly patient is given diphenhydramine (Benadryl) for allergic response to mold. The nurse should consequently assess the patient for
A) anticholinergic effects.
B) dysrhythmias.
C) increased muscle tone.
D) respiratory depression.
A
Feedback:
Diphenhydramine (Benadryl) is the prototype of first-generation antihistamines and causes a high incidence of drowsiness and anticholinergic effects. It is not associated with dysrhythmias, increased muscle tone, or respiratory depression.
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When caring for a couple shortly after the birth of their first child, the nurse becomes aware the couple is agitated. Which of the following comments reflects the nurse's best response?
1. "Don't worry. Both you and the baby are doing well." 2. "Are you in pain?" 3. "This can be a very emotional time for new parents. What are you feeling?" 4. "What seems to be the problem?"
A seasoned nurse notes that a novice nurse voices frustration and a lack of appreciation for clients with differing health care beliefs and practices. Which action will best assist the seasoned nurse to improve the novice nurse's practice?
1. Advising the novice to reduce displays of frustration and lack of appreciation for the values of others. 2. Encouraging the novice to look closely at own cultural practices and beliefs. 3. Recommending a written reprimand for the novice nurse. 4. Requiring the novice nurse to meet with a counselor concerning ethnic biases.
Which statement by the nurse manager is the best example of day-to-day coaching?
1. "Can we meet this afternoon for about 30 minutes to discuss your progress?" 2. "I think you need to get different day care that would allow you to be on time." 3. "Over the past 6 months the narcotics count has been off on several days that you have worked." 4. "Let me show you a method I have found to be effective in making patient assignments."