A client is taking an antidepressant. What would indicate a side effect of anticholinergic origin?
a. Diarrhea
b. Increased salivation and drooling
c. Urinary retention
d. Bradycardia
ANS: C
Urinary retention, constipation, tachycardia, and dry mouth are anticholinergic symptoms.
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A nurse manager is interested in supporting more involvement of the staff nurses on the unit. What is one approach the nurse manager can take to facilitate this involvement?
a. Inform the staff of decisions made. b. Use decentralized management. c. Avoid unit goals. d. Discourage input from other personnel.
The nurse is working with a group of clients with personality disorders who are attending a cognitive behavioral therapy session. The nurse recognizes that the clients who are most responsive to this type of therapy have which personality trait?
1. Agreeableness 2. Dramatic 3. Eccentric 4. Inflexible
To prevent skin tears, you need to:
a. Follow the person's care plan b. Wear gloves c. Position the person supine d. Follow Standard Precautions and the Bloodborne Pathogen Standard
A client has hypertension and asks the nurse how this condition can lead to heart failure. Which is the best response by the nurse?
1. "Hypertension limits the ability of your heart to stretch before emptying, or afterload; your heart works harder and weakens." 2. "Hypertension causes resistance in your aorta, or afterload; your heart works harder and weakens." 3. "Hypertension causes resistance in your blood vessels, or afterload; your heart works harder and weakens." 4. "Hypertension limits the amount of blood entering your left ventricle, or afterload; your heart works harder and weakens."