A patient with atrial fibrillation is prescribed amiodarone for the dysrhythmia. Which potential adverse reaction should the nurse report?
a. Ataxia
b. Decreasing pulse rate
c. Decreasing blood pressure
d. Increase in cardiac output
A
The drug amiodarone is meant to quiet atrial activity and modify rapid pulse rate, high blood pressure, and decreased cardiac output caused by the dysrhythmia. The drug interferes with the thyroid and causes an ataxic gait and trembling of hands as adverse effects.
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A nurse cares for a client who has excessive catecholamine release. Which assessment finding should the nurse correlate with this condition?
a. Decreased blood pressure b. Increased pulse c. Decreased respiratory rate d. Increased urine output
Following a weekend of alcohol binging, the client is hard to arouse on Monday morning. Which behavior by the spouse is considered to be a sign of codependency?
A) Letting the spouse sleep B) Driving the spouse to work C) Phoning the spouse off work D) Confronting the behavior
The nurse is assessing the client's neurologic system. The nurse tests the client's ability to perform stereognosis. Which of the following activities will accurately test this?
1. The nurse places a vibrating tuning fork over the client's ankle and asks the client to indicate when the vibration can no longer be felt. 2. The nurse asks the client to close her eyes and writes the number 7 in the client's palm with the base of the nurse's pen. The nurse asks the client to identify what was written. 3. The nurse asks the client to close her eyes and places a pen in the client's hand. The nurse asks the client to name the object in her hand. 4. The nurse asks the client to close her eyes and indicate where the nurse is touching the client.
A patient is being tested for adrenal insufficiency with the rapid adrenocorticotropic hormone (ACTH) stimulation test. How will the nurse explain this test to the patient?
1. "You will drink about a cup of a salty-tasting fluid during this test." 2. "It will take several hours to complete this test." 3. "We have to do this test first thing in the morning, just after you awaken." 4. "A series of blood samples will be drawn during this test."