A client has increased intraocular pressure, and pilocarpine (Isopto Carpine, Pilopine HS, others) has been ordered. The nurse needs to review the medical history because this drug would be contraindicated for the client with:
a. asthma.
b. cardiovascular disease.
c. kidney disease.
d. ulcer disease.
ANS: A
This medication, while dilating the pupils, may constrict the airway.
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A nurse reviews the urinalysis of a client and notes the presence of glucose. Which action should the nurse take?
a. Document findings and continue to monitor the client. b. Contact the provider and recommend a 24-hour urine test. c. Review the client's recent dietary selections. d. Perform a capillary artery glucose assessment.
The nurse is preparing to conduct an interview with a patient newly diagnosed with cancer. What can the nurse do to ensure a private and comfortable environment for the patient?
A) Conduct the interview in the visitors' lounge. B) Escort the patient to a conference room. C) Take notes during the interview. D) Introduce self and establish rapport.
The patient who had a laryngectomy 3 months ago returns to the physician's office with the complaint of increasing dyspnea. The nurse recognizes this complaint as an indication of the common postlaryngectomy complication of:
1. hypertrophied stoma. 2. salivary fistula. 3. carotid blowout 4. tracheal stenosis.
A nurse is reviewing laboratory results for a patient just admitted to the intensive care unit. The patient is not known to have diabetes, but initial nonfasting blood sugar is 130 mg/dL. At which point would the nurse expect insulin therapy to begin?
1. When fasting blood sugar exceeds 110 mg/dL 2. When the patient shows assessment findings associated with hyperglycemia 3. If another random blood glucose is in the same range as this initial reading 4. When fasting blood glucose levels reach 180 mg/dL