Why should a nurse reinforce the need for a client to observe dietary and drug restrictions for 2 weeks after stopping administration of a monoamine oxidase inhibitor (MAOI)?
A) To avoid a hypertensive episode
B) To avoid the risk for injury
C) To avoid the risk for infection
D) To avoid the risk for imbalanced fluid volume
A
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A 17-year-old client is having protected sex one to two times a week in a monogamous relationship. What is the client participating in?
A) Health promotion B) Health maintenance C) Illness prevention D) Wellness
A patient with a 60% burn in the acute phase of treatment develops a tense abdomen, decreasing urine output, hypercapnia, and hypoxemia. Based on this assessment, the nurse anticipates interventions to evaluate and treat the patient for:
a. acute kidney injury. b. acute respiratory distress syndrome. c. intraabdominal hypertension. d. disseminated intravascular coagulation disorder.
The nurse caring in the intensive care unit suspects that one of her patients is experiencing sensory overload. Which findings would increase her suspicion? Select all that apply
a. Disorientation b. Restlessness c. Hallucinations d. Depression e. Preoccupation with somatic complaints
While caring for a patient with a spinal cord injury (SCI), the nurse elevates the head of the bed, removes compression stockings,
and continues to assess vital signs every 2 to 3 minutes while searching for the cause in order to prevent loss of consciousness or death. By practicing these interventions, the nurse is avoiding the most dangerous complication of autonomic dysreflexia, which is what condition? 1. hypoxia 2. bradycardia 3. elevated blood pressure 4. tachycardia