The nurse is evaluating the client receiving hydromorphone (Dilaudid) for side effects of the medication. Which of the following reflect side effects of this medication? Select all that apply
1. Respiratory rate less than 12
2. Pruritis
3. Nausea
4. Tachypnea
5. Polyuria
1. Respiratory rate less than 12
2. Pruritis
3. Nausea
Rationale: Respiratory rate less than 12. Side effects of narcotic or opioid analgesics include respiratory depression. Pruritis. Side effects of narcotic or opioid analgesics include itching (pruritis). Nausea. Side effects of narcotic or opioid analgesics include nausea and vomiting. Tachypnea. Tachypnea refers to rapid breathing, which is not consistent with a side effect of respiratory depression. Polyuria. Polyuria, excessive urine output, does not occur with opiates.
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The primary goal of the principle of beneficence is to:
a. always be faithful. b. be fair and equitable always. c. do good for a client. d. provide for client privacy.
A 15-year-old girl has been diagnosed with Hepatitis B and will be starting treatment with Interferon-alpha (IFN). The nurse needs to educate the patient on this medication. Which of the following should be included in this education?
1. The medication reduces the replication of the Hepatitis B virus. 2. The patient needs to remain on treatment for one year. 3. Patients may develop resistance to Interferon-alpha over time. 4. Interferon-alpha has fewer side effects than Lamivudine, which is also used to treat Hepatitis B.
A nurse is lecturing to a church group about domestic violence. During the presentation, a member of the audience asks the nurse to explain what intergenerational transmission of violence means because he has seen that phrase used in the media
The nurse's best response to this question would be that intergenerational transmission of violence refers to the fact that: A) "People who are violent are that way because of neurochemical imbalances in their brains." B) "People who grow up in violent home situations tend to be involved in domestic violence situations as an adult." C) "Recent research has identified a gene that is responsible for transmission of a risk for violent behavior that is passed on from generation to generation." D) "Domestic violence seems to skip every other generation when it is traced in families."
A patient is brought to the Emergency Department after a motorcycle accident. The patient is alert, responsive, and diagnosed with a broken leg. The patient's vital signs are pulse (P) 72 and respiration (R) 16
After being informed surgery is required for the broken leg, which vital sign readings would be expected? a. P 64, R 14 b. P 68, R 12 c. P 72, R 16 d. P 80, R 20