An older adult man who takes verapamil (Calan) reports that his breasts have enlarged. What is your best action?
a. Ask the patient whether he has had any difficulty getting or maintaining an erection.
b. Document the response and reassure the patient that this is a common side effect.
c. Instruct the patient to use an elastic wrap to bind his breasts during the day.
d. Hold the drug dose and notify the prescriber.
ANS: B
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The nurse is caring for an African American patient who has a serum bilirubin of 6 mg/100 mL. What is the best way of assessing skin color changes in this patient?
1. Assess the sclera. 2. Assess the palms of the hands. 3. Assess the fingernails. 4. Assess the skin of the inner arms.
A child needs a breathing treatment and suctioning to produce a sputum specimen. Which is cor-rect?
a. You can give the breathing treatment. b. An RN or respiratory therapist tells you what breathing treatment to give. c. The nurse suctions the trachea for the specimen. d. You can assist by suctioning the trachea.
A patient's arterial blood gas analysis shows a pH of 7.28. The PaCO2 is high. Which of the following acid–base imbalances is the patient experiencing?
a. Respiratory alkalosis b. Respiratory acidosis c. Metabolic alkalosis d. Metabolic acidosis
Diuretics are given to increase the patient's urine output.
Answer the following statement true (T) or false (F)