A patient calls the clinic and talks to the nurse. The patient tells the nurse he or she is going on a cruise and is concerned about motion sickness
The patient says that a friend has recommended that he or she see his or her primary care physician to get a prescription for scopolamine. What adverse effect would the nurse inform the patient that using scopolamine may result in? A) Pupil constriction
B) Tachycardia
C) Diarrhea
D) Urinary incontinence
B
Feedback:
Scopolamine blocks the parasympathetic nervous system, which may result in dilated pupils and increased heart rate (i.e., tachycardia). Blocking the parasympathetic system also results in decreased GI activity and urinary bladder tone causing constipation and urinary retention.
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The nurse is assessing a newly admitted medical patient and notes there is a depression in the lower portion of the patient's sternum. This patient's health record should note the presence of what chest deformity?
A) A barrel chest B) A funnel chest C) A pigeon chest D) Kyphoscoliosis
The maternity nurse understands that vascular volume increases 40% to 60% during pregnancy to
a. Compensate for decreased renal plasma flow. b. Provide adequate perfusion of the placenta. c. Eliminate metabolic wastes of the mother. d. Prevent maternal and fetal dehydration.
A patient who is a 2-1-0-0-1 at 34 weeks' gestation is interested in a vaginal birth after cesarean section (VBAC) and asks the nurse about this possibility
Which reason for her primary cesarean section would indicate to the nurse that the patient should be discouraged from pursuing this option? a. Transverse lie b. Prolapsed cord c. Placenta previa d. Cephalopelvic disproportion (CPD)
The nurse is caring for an active 14-year-old boy who has recently been diagnosed with scoliosis. He is dismayed that a "jock" like himself could have this condition, and is afraid it will impact his spot on the water polo team
Which response by the nurse would best address the boy's concerns? A) "If you wear your brace properly, you may not need surgery.". B) "The good news is that you have very minimal curvature of your spine.". C) "Let's talk to another boy with scoliosis, who is winning trophies for his swim team.". D) "Let's talk to the doctor about your treatment options.".