The nurse has administered a dose of epinephrine to a 12-month-old infant. For which adverse reactions of epinephrine should the nurse monitor? (Select all that apply.)
a. Nausea
b. Tremors
c. Irritability
d. Bradycardia
e. Hypotension
ANS: A, B, C
Epinephrine increases activation of the sympathetic nervous system. Adverse effects include nausea, tremors, and irritability. Tachycardia would occur, not bradycardia, and hypertension, not hypotension, would occur.
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Mrs. S was diagnosed with diverticular disease about 8 years ago but has never had diverticulosis, whereas her cousin has had several episodes that have required a hospital admission
At her clinic visit she asks the nurse what nutritional steps she can take to avoid diverticulosis in the future. The best reply the nurse can make is: 1. A high-fiber diet which will help to reduce the development of diverticulosis. 2. Avoid fiber from plant sources as it can be too coarse to digest properly. 3. A low-fat diet will decrease the development of diarrhea and inflammation. 4. Eliminate fruits, whole grains, and legumes from your diet.
During rehabilitation, persons need to be reminded of their:
a. Disabilities b. Strengths and weaknesses c. Limits d. Progress
To minimize the nephrotoxicity associated with intravenous acyclovir, the nurse will:
1. provide a low-protein diet for 1 day before and 2 days after the acyclovir infusion. 2. infuse hydration during and for 2 hours after the acyclovir infusion. 3. restrict oral fluids on the day of the acyclovir infusion. 4. withhold the infusion if there is any concern about potential elevations in BUN.
The nurse providing preoperative care to a client who is scheduled for a left mastectomy and axillary lymph node dissection notes that the client is wearing a wedding band on her left ring finger. Which action should the nurse take?
A. Tape the wedding band in place B. Explain to the client why the wedding band must be removed C. Ask the client whether she would like to remove the wedding band or wear it to surgery D. Ask the client to sign a release to free the hospital of responsibility if the wedding band is lost during surgery