A patient has had atropine sulfate that has been administered intravenously to treat a dysrhythmia. What should the nurse assess this patient for after administration?
a. Weight gain
b. Tachycardia
c. Muscle twitching
d. Incontinence of urine
B
Atropine increases the heart rate. The nurse should watch for tachycardia, which increases the workload of the heart. This medication causes urinary retention.
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Staff nurses in an ICU setting have noticed that their patients required lower and fewer doses of analgesia when noise levels on the unit were consciously reduced
They informed an advanced practice RN of this and asked the APRN to quantify the effects of noise on the pain levels of hospitalized patients. How does this demonstrate a role of the APRN? A) Involving patients in their care while hospitalized B) Contributing to the scientific basis of nursing practice C) Critiquing the quality of patient care D) Explaining medical studies to patients and RNs
The nurse places a patient in a treatment room of the emergency department for treatment of abdominal pain and vaginal bleeding. The patient is a female of the Islamic culture
The husband of the patient speaks for the woman and asks that only a female doctor examines his wife for the pelvic exam. To provide culturally appropriate care for this client, the nurse would explain that A) the male and female doctors both respect the client's privacy. B) the client will be covered with a sheet so it will not matter whether the examiner is male or female. C) the request is unreasonable and cannot be honored. D) a female doctor is present so their request can be accommodated.
Following a laryngectomy a patient coughs violently during suctioning and dislodges the tracheostomy tube. Which action should the nurse take first?
a. Cover stoma with sterile gauze and ventilate through stoma. b. Attempt to reinsert the tracheostomy tube with the obturator in place. c. Assess the patient's oxygen saturation and notify the health care provider. d. Ventilate the patient with a manual bag and face mask until the health care provider arrives.
One of the major challenges with a shared governance model is _________
a. time constraints for decision making b. hierarchical models of decision making c. government influence in decision making d. committees making all the decisions