A primary care NP sees a patient 2 days after an outpatient surgical procedure. The patient reports using ondansetron for nausea. The NP notes a blood pressure of 88/56 mm Hg, and the patient reports feeling faint. The NP should suspect:
a. hemorrhage.
b. dehydration.
c. drug toxicity.
d. drug interaction.
C
Hypotension and faintness are signs of overdose of ondansetron, and drug toxicity is the more likely cause of this patient's decrease in blood pressure.
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To assess for Trousseau's sign, place a blood pressure cuff on the patient's upper arm and inflate to
a. 10 mm Hg above the patient's diastolic blood pressure for 1 minute. b. the patient's systolic blood pressure for 3–5 minutes. c. 10 mm Hg above the patient's systolic blood pressure for 1–3 minutes. d. 10 mm Hg below the patient's systolic blood pressure for 3–5 minutes.
An autosomal dominant trait is discovered by a nurse constructing a client pedigree. The trait has not appeared in two generations but was strongly evident three generations ago. What advice should the nurse provide for the client?
1. "Your family should be genetically tested for this trait." 2. "The men in your family should be genetically tested for this trait." 3. "This trait existed in your past, but will not be transmitted now." 4. "Your children have a 25% risk of inheriting this trait."
A child has been diagnosed with Wilms' tumor, and is being treated with chemotherapy
Because many chemotherapeutic agents cause bone marrow depression, before administering the chemotherapy, the nurse will determine if this child has any infection-fighting capability by monitoring the: 1. Hemoglobin. 2. Red blood cell count. 3. Absolute neutrophil count (ANC). 4. Platelets.
A patient has chronic peripheral arterial disease. During neurovascular checks, the nurse finds an absent left pedal pulse and a cyanotic leg. What should the nurse do?
a. Reassess the pulse in 30 minutes. b. Encourage patient to flex the leg 10 times. c. Notify the RN immediately. d. Massage the patient's left foot.