A nurse works in a clinic that sees both children and adults with asthma. Which assessments will the nurse routinely monitor on patients taking corticosteroids? (Select all that apply.)
1. Height measurement in children
2. Bone density test results in adults
3. IQ measurements in both adults and children
4. Weight measurements in children
5. EKGs on adults
1,2,4
Rationale 1: Corticosteroids can affect growth in children.
Rationale 2: Corticosteroids can affect bone density in adults.
Rationale 3: Corticosteroids do not affect IQ.
Rationale 4: Corticosteroids can affect growth in children.
Rationale 5: Corticosteroids do not affect EKG readings.
Global Rationale: Corticosteroids can affect growth in children and bone density in children. Corticosteroids do not affect IQ or EKG readings.
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The nurse would include which intervention when planning the care of a cocaine-addicted newborn experiencing withdrawal?
A) Frequent assessment of vital signs and wrapping the newborn snugly in a blanket B) Administration of methadone and frequent monitoring of respiratory status C) Meticulous skin and perineal care and frequent tactile stimulation D) Use of radiant heating source and the provision of loose, nonrestrictive clothing
An older man who is admitted to the hospital for surgery has a history of medication therapy for hypertension. Which intervention does the nurse implement when the client reports that, "I've fallen twice in 5 weeks"?
a. Blood pressure monitoring every 2 hours b. Orthostatic blood pressures c. Serum creatinine levels d. Blood levels of prescribed antihypertensive medications
The nurse is taking care of a child who is terminally ill. The nurse notices the child is having periods of shallow breathing followed by short periods of apnea. The nurse recognizes that this is:
1. Normal respiratory function of a young child. 2. Cheyne-Stokes respiration, which is a sign of imminent death. The child should be assessed for other signs of imminent death. 3. Dyspnea secondary to muscle relaxation. 4. A sign of air hunger.
A client has chronic obstructive pulmonary disease (COPD). In reviewing this client's laboratory values, the nurse would not be surprised to see a/an
a. decreased sedimentation rate. b. elevated RBC count. c. normochromic anemia. d. therapeutic INR.