The client reports frequent use of acetaminophen (Tylenol) for relief of frequent headaches and other discomforts. The nurse should evaluate which of the diagnostic data to determine if the client is at risk for toxicity?
1. The chest x-ray
2. The upper gastrointestinal x-ray results
3. The electrocardiogram
4. The liver function studies
4
Rationale: In adults, overdose of acetaminophen causes liver damage. In addition, clients with liver disorders are at higher risk of experiencing hepatotoxicity with chronic acetaminophen use. "The chest x-ray," "the upper gastrointestinal x-ray results," and "the electrocardiogram" are not associated with acetaminophen overdose.
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b. decreased peripheral vasoconstriction, decreasedheart rate, increased sodium reabsorption anddecreased basal metabolic rate. c. increased peripheral vasoconstriction, increasedheart rate, increased sodium reabsorption and increased basal metabolic rate. d. increased peripheral vasoconstriction, decreased heart rate, increased sodium reabsorption and decreased basal metabolic rate.
An NP orders an inhaled corticosteroid 2 puffs twice daily and an albuterol metered-dose inhaler 2 puffs every 4 hours as needed for cough or wheezing for a 65-year-old patient with recent onset of reactive airways disease who reports symptoms
occurring every 1 or 2 weeks. At a follow-up appointment several months later, the patient reports no change in frequency of symptoms. The NP's initial action should be to: a. order spirometry to evaluate pulmonary function. b. prescribe a systemic corticosteroid to help with symptoms. c. ask the patient to describe how the medications are taken each day. d. give the patient detailed information about the use of metered-dose inhalers.
Which province was the first in Canada to gain legislation related to nursing registration?
a. Ontario b. Nova Scotia c. New Brunswick d. British Columbia
Assessment of the proper functioning of an oxygen device includes:
A. No mist in the face tent B. The reservoir of the rebreathing mask collapsing on inhalation C. A flow rate between 1 and 6 L/min for the nasal cannula D. The nasal cannula positioned below the nares