The emergency department nurse is caring for a patient who has received morphine sulfate for severe pain following an injury. The nurse performs a drug history and learns that the patient takes St. John's wort for symptoms of depression
The nurse will observe this patient closely for an increase in which opioid adverse effect?
a. Constipation
b. Pruritis
c. Respiratory depression
d. Sedation
ANS: D
St. John's wort can increase the sedative effects of opioids. It does not enhance other side effects.
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The nurse recognizes that a symptom that may indicate the presence of pinworms would be
1. Blurred vision. 2. Anal itching. 3. Muscle cramps. 4. Ringing in the ears.
The nurse in labor and birth is caring for a Muslim client during the active phase of labor. The nurse notes that the client quickly draws away when touched. Which intervention should the nurse implement?
a. Ask the charge nurse to reassign you to another client. b. Assume that she doesn't like you and decrease your time with her. c. Continue to touch her as much as you need to while providing care. d. Limit touching to a minimum because physical contact may not be acceptable in her culture.
The nurse at a chemotherapy clinic is preparing to administer interferon alfa to a patient. To help minimize side effects, the nurse may
a. start oxygen. b. lower the ambient temperature. c. provide antiemetics. d. administer acetaminophen.
The amniotic sac
A. cushions and protects the fetus. B. is normally filled with yellow fluid. C. normally breaks before labor begins. D. provides nutrients to the fetus.