Four patients arrive at the emergency department. All have attempted suicide by overdosing on medication. Which patient will the nurse plan to transfer to the renal failure unit?
1. The patient who overdosed on lorazepam (Ativan)
2. The patient who overdosed on amitriptyline (Elavil)
3. The patient who overdosed on ibuprofen (Advil)
4. The patient who overdosed on quetiapine (Seroquel)
Correct Answer: 3
Rationale: NSAIDs, such as ibuprofen, are nephrotoxic drugs. Amitriptyline (Elavil) is cardiotoxic, not nephrotoxic. An overdose of lorazepam (Ativan) will result in CNS depression, not nephrotoxicity. An overdose of quetiapine (Seroquel) will result in CNS depression, not nephrotoxicity.
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1. "Remember you are safe from the Mafia here in the hospital." 2. "Tell me what you are hearing right now." 3. "You need to attend the next recreation group. That will help you ignore the voices." 4. "You are hearing voices again, right?"
The charge nurse has instructed the nurse to complete a focused interview on the client who has just been admitted to the facility with complaints consistent with kidney stones
Which of the following actions by the nurse indicates the best understanding of the assignment? 1. The nurse obtains a urine sample to send for a urinalysis. 2. The nurse takes the client's vital signs. 3. The nurse questions the client about dietary preferences. 4. The nurse asks the client about the characteristics of the pain being experienced.
The pediatric nurse caring for children in the clinical setting uses the intergenerational transmission model to plan nursing care for patients. Basic premises of this model include:
A) resilience is defined as "a predispositional factor, or set of factors, that makes possible a disorder state." B) children of depressed parents have not been shown to be more prone to depression, anxiety, or behavioral problems. C) vulnerability toward maladjustment or resilience in the face of adversity may be passed on from generation to generation. D) vulnerability is defined as "a dynamic developmental process reflecting evidence of positive adaptation despite significant life adversity."
What instruction should the nurse emphasize in the teaching plan for a client with angina?
A) Purchase a fresh supply of nitroglycerin every 6 months. B) Reduce or avoid nicotine intake. C) Avoid sitting for a lengthy time. D) Avoid traveling or mild exercise.