Surgery has informed a nurse that the patient returning to the floor after spinal surgery has an opioid epidural catheter for pain management
The nurse should prepare to monitor the patient for which side effects of an opioid epidural catheter? (Select all that apply.)
a. Urinary frequency
b. Nausea
c. Itching
d. Respiratory depression
ANS: B, C, D
Respiratory depression, nausea, itching, and urinary retention are dose-related side effects from an epidural opioid. Urinary retention, not urinary frequency, would be seen.
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In a client with leukemia, why does the nurse encourage the client to use electric razors?
A) Trauma and microabrasions may contribute to anemia. B) Fragile tissues and altered clotting mechanisms may result in hemorrhage. C) The client is at risk for spontaneous and uncontrolled bleeding. D) The client is at risk for infection from microorganisms.
The nutritionist is reviewing vegetarian diets with a group of nurses. Which statement made by a nurse indicates understanding about a semi-vegetarian diet?
A) "The diet excludes red meat and possibly poultry." B) "The diet excludes red meat, poultry, and fish." C) "The diet excludes meat, poultry, fish, and eggs." D) "The diet excludes dairy products, meat, poultry, fish, and eggs."
When a nurse asks himself or herself questions such as "Why am I here?," the nurse is attempting to
A) Develop the concepts of holism and integration B) Become a more spiritual being for other people C) Develop a philosophical base for clearer thinking D) Strive toward unity with the higher power
When the nurse attempts to wake a patient who has just closed his eyes and appears asleep, the patient states he is not asleep. The stage of sleep the patient is in is
A) Stage 1 B) Stage 2 C) Stage 3 D) Stage 4