To induce vasodilation for a client experiencing a Meniere's attack, the nurse should admi-nister which of the following?

A. Nicotinic acid (Niaspan)
B. Dimenhydrinate (Dramamine)
C. Diphenhydramine (Benadryl)
D. Diazepam (Valium)


A
All of the above listed drugs may be helpful during a Meniere's attack; however, only nicotinic acid has a systemic vasodilatory effect.

Nursing

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A patient being mechanically ventilated with positive end-expiratory pressure and pressure support totaling 30 mm Hg has developed unequal chest expansion, absent breath sounds on the right, and tracheal deviation to the right

The patient is increasingly tachycardic, anxious, and agitated, and his pulmonary compliance is rapidly decreasing. What is the most appropriate nursing action? A) Obtain a chest x-ray to rule out pneumothorax. B) Inititate needle thoracotomy or chest tube insertion. C) Sedate the patient and evaluate ventilator settings. D) Obtain arterial blood gases to evaluate gas exchange.

Nursing

A 50-year-old woman visits a clinic complaining of heat intolerance, irregular menses, and a slight increase in bleeding during her menses. The most likely cause of her symptoms is

a. uterine cancer c. uterine fibroids b. menopause d. ovarian cancer

Nursing

The nurse is caring for a child recovering from a kidney transplant. Which nursing diagnosis should the nurse identify as the priority to guide the care for this patient?

A) Pain related to tissue rejection B) Constipation related to effects of administered drugs C) Risk for infection related to immunocompromised state D) Deficient fluid volume related to fluid intake restrictions postoperatively

Nursing

The nurse knew the client was very anxious to know the lab results so the success of self-management of diabetes could be determined. The nurse tried to phone the client, but no one answered

To save further time and effort, the RN left a telephone answering machine message with all the lab results for the client to listen to at the client's convenience. Would the agency supervisor have any issue with the nurse's efficiency? A. The supervisor would explain that it is not the nurse's job to get in touch with the client; it is the client's responsibility to get in touch with the clinic office. B. The nurse's actions showed good use of technology, and that is why clients are asked if they have answering machines or voice mail on their phones. C. Since the nurse made very efficient use of agency time, the nurse should be commended by the supervisor. D. The nurse should merely have left a name and phone number for the client to return the call at the client's convenience.

Nursing