A patient is experiencing severe headaches and pressure over her eyes. She feels congested but has no temperature elevation. There is a past history of sinus infection with this patient. What might the nurse expect the physician to order?
a. Expectorant
b. Antibiotic
c. Antitussive
d. Decongestant
ANS: D
Decongestants directly affect the alpha receptors of blood vessels in the nasal mucosa, causing vasoconstriction.
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A client has dementia of the Alzheimer's type. He is no longer able to walk, and he does not recognize family members, even his wife of 52 years, when they visit him
He attempts to communicate with agitated behaviors or with occasional incoherent vocalizations. Which stage of the illness is the client in? 1. Late-stage dementia 2. Early-stage dementia 3. Middle-stage dementia 4. Late-stage confusion
A son explained to the home health nurse that since his mother died, his father did not seem to have any interest in life and had even told his son he was considering suicide. Which of the following would be the most appropriate response by the nurse?
a. "If he really wants to kill himself, he will, and there really isn't anything you can do to stop him." b. "If you talk to him about it, you're strengthening the idea." c. "People who talk about suicide rarely do it, so don't worry." d. "Suicide is a serious concern; let's talk to his doctor about what you've noticed."
Myasthenia gravis (MG) is an autoimmune disease of the neuromuscular junction characterized by the fluctuating weakness of certain skeletal muscle groups. The use of intravenous immune globulin
a. increases anxiety and depression. b. reduces the production of acetylcholine antibodies. c. removes the antibodies produced by the autoimmune response. d. increases the production of acetylcholine antibodies.
While caring for a client with a newly placed plaster leg cast, a nurse should do which of the following? Select all that apply
1. Assess the toes for capillary refill. 2. Elevate the casted limb on pillows. 3. Handle the cast with the palms of the hand. 4. Lift the cast by gripping the ankle. 5. Teach the patient to use a nail file to scratch under the cast.