A nurse is teaching a client who is prescribed sumatriptan about the possible adverse reactions associated with the drug. The nurse determines that the teaching was successful when the client identifies which of the following as most common? Select all th
A) Flushing
B) Bradycardia
C) Dry mouth
D) Impaired vision
E) Fatigue
Ans: A, C, E
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The most common adverse reactions associated with the selective serotonin agonists like sumatriptan (Imitrex) include dizziness, nausea, fatigue, pain, dry mouth, and flushing.
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A patient who has been seen responding to auditory hallucinations earlier in the morning approaches the nurse and shakes his fist, saying, "Back off, bitch!" and then goes into the day room. The nurse follows the patient into the day room
Which intervention would be best at this time? a. Stay between the patient and the door for easy exit. b. Stand out of range of possible assault by the patient. c. Position oneself about 28 inches from the patient. d. Sit down in a chair near the patient to convey interest.
Which finding indicates a pathology?
a. ovary with pulsations c. cervix that is 2 cm b. vaginal walls that are deeply rugated d. nonpalpable ovaries
The patient who recently had a radical prostatectomy has the nursing diagnosis of ineffective sexuality patterns. What assessment by the nurse best indicates that the goals for this diagnosis have been met?
a. Patient states he can live without sex. b. Patient says that impotence is temporary. c. Patient states his needs are being met. d. Patient asks about medication for ED.
If a client has hypocalcemia, the nurse should also evaluate the client for:
1. Other electrolyte disturbances. 2. Hypertension. 3. Visual disturbances. 4. Drug toxicity.