A patient is prescribed testosterone 100 mg IM every 4 weeks. What finding will you teach the patient to report to the prescriber immediately?
a. Blood pressure decrease of 10 mm Hg systolic
b. Urine output increase of 200 mL/day
c. Weight gain of 5 lb
d. Increased prostate size
ANS: C
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A complete cell blood count (CBC) gives an overall indication of
A) coagulation times. B) a patient's cardiac output. C) bone marrow production. D) immune status.
The child receiving a transfusion complains of back pain and itching. What is the best initial action by the nurse?
a. Notify the charge nurse. b. Disconnect intravenous lines immediately. c. Give diphenhydramine (Benadryl). d. Clamp off blood and keep line open with normal saline.
The nurse is demonstrating palpation of the lymph nodes to a nursing student. Which of the following methods would be correct for the nurse to use during this examination?
1. First on one side, then on the other 2. Gentle, circular pressure 3. Strong, deep pressure 4. Always attempt to push the nodes into the muscle.
The aPTT of a patient who is prescribed continuous intravenous (IV) heparin is two times the control value. What is the nurse's best action?
a. Increase the IV rate as ordered. b. Decrease the IV rate as ordered. c. Leave the rate unchanged. d. Stop the infusion and notify the prescriber.