As part of a teaching session, a client with myasthenia gravis and her family are receiving instructions from the nurse. The nurse teaches the client that overdosing of cholinesterase inhibitor may result in cholinergic crisis
The client is taught about which signs and symptoms of cholinergic crisis?
a. Decreased muscle strength and decreased salivation
b. Increased salivation and sweating
c. Muscle weakness and increased salivation
d. Muscle spasticity and decreased salivation
ANS: C
These are the major signs of cholinergic crisis.
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While caring for a critically ill patient, the nurse observes the family discussing funeral arrangements across the bed of the patient, who is intubated and sedated but awake. The family signs Do Not Resuscitate (DNR) request paperwork and leaves
The patient manages to communicate to the nurse that he does not want to die. What is the most appropriate nursing action? A) Adhere to the wishes of the family, since the patient is probably incompetent. B) Call a multidisciplinary conference with the family to resolve this conflict. C) Destroy the Do Not Resuscitate paperwork, since the patient wants to live. D) Apply the ethical principles of nonmaleficence and paternalism to the situation.
An abnormal condition in which the heart contracts regularly but at a rate greater than 100 beats per minute is known as ___________________
ANS:
Which are early signs of hypoglycemia in the newborn for which the nurse should assess? (Select all that apply.)
a. Jitteriness b. Poor feeding c. Respiratory difficulty d. An increase in temperature e. A capillary refill of 2 seconds
Beta blockers are prescribed for diabetics with caution because of their ability to produce hypoglycemia and block the common symptoms of it
Which of the following symptoms of hypoglycemia is not blocked by these drugs and so can be used to warn diabetics of possible decreased blood glucose? 1. Dizziness 2. Increased heart rate 3. Nervousness and shakiness 4. Diaphoresis