When the nurse administers an anticholinergic drug to a child, the nurse would carefully assess for what effect that is more likely to occur in children than in adults?
A) Rashes
B) Pupil dilation
C) Heat intolerance
D) Tachycardia
C
Feedback:
Children are often more sensitive to the adverse effects of the drugs, including constipation, urinary retention, heat intolerance, and confusion. Similar effects are seen in children related to pupil dilation. Tachycardia and rashes would not be associated with these drugs in children.
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The nurse is planning how to organize care for a client admitted with an exacerbation of myasthenia gravis, and decides it would be best to:
1. Adhere to the client's usual at-home schedule as closely as possible. 2. Complete all care in the morning and encourage rest in the afternoon. 3. Spread care throughout the shift, with rest periods periodically. 4. Follow the usual routine to schedule and complete care.
The plan of care for a patient with a STEMI, treated in a non-percutaneous coronary intervention capable (PCI) hospital, includes:
A) evaluation in the cardiac catheterization lab within 90 minutes of non-PCI hospital arrival. B) transfer to a PCI-capable hospital within 3 hours. C) fibrinolytic therapy if transfer causes a delay of more than 120 minutes for door to balloon. D) stabilizing patient for 24 hours, then transferring to a PCI-capable hospital.
When planning for the care of the hospitalized child with a long-term illness, the best pattern to use for staffing of nurses would be
A) primary or case-management nursing. B) a private-duty nurse around the clock. C) daily rotation of nurses to increase stimulation. D) the use of nurses only to relieve the parents for meals or short breaks.
The community nurse is working with a patient at 32 weeks' gestation who has been diagnosed with preeclampsia. Which statement by the patient would indicate that additional information is needed?
1. "I should call the doctor if I develop a headache or blurred vision." 2. "Lying on my left side as much as possible is good for the baby." 3. "My urine could become darker and smaller in amount each day." 4. "Pain in the top of my abdomen is a sign my condition is worsening."