A patient with overactive bladder has been prescribed tolterodine (Detrol). While assessing the patient, the nurse discovers the presence of the following health problems
Which problem causes the nurse to contact the prescriber and question the drug order? a. Asthma
b. Glaucoma
c. Hypotension
d. Diabetes mellitus
B
Tolterodine (Detrol) is an anticholinergic drug that can close the angle of the iris of the eye and decrease the outflow of aqueous fluid in the eye. For people who have closed angle glaucoma, the intraocular pressure can become even higher and the risk for blindness increases.
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Health care providers who work with clients from different cultures must be aware of
1. a history of depression. 2. client's need to reduce anxiety. 3. the history of the problem. 4. the meaning of the problem for the client.
The nurse is preparing to administer an intravenous insulin drip to a patient admitted with diabetic ketoacidosis. Which of the following laboratory findings would be of most concern to the nurse?
1. sodium level of 130 mEq/L 2. potassium level of 3.2 mEq/L 3. bicarbonate level of 16 mEq/L 4. phosphorus level of 2.8 mEq/L
In planning any health program for elderly adults, the nurse will implement Erikson's theory of task development. The nurse realizes that in this stage of life, the successful completion of the task allows the person to
1. have a feeling of satisfaction from past accomplishments. 2. make connections with the younger generation. 3. wish he or she could live life over again. 4. live out his or her last years in physical health.
A nurse is caring for a patient who is 4 hours postpartum with postpartum hemorrhage. Which nursing diagnosis has the highest priority?
1. Knowledge Deficit, related to lack of information about signs of postpartum hemorrhage 2. Deficient Fluid Volume, related to blood loss secondary to uterine atony 3. Fatigue, related to anemia from postpartum bleeding 4. Activity Intolerance, related to enforced bedrest to control postpartum bleeding