A patient has been receiveing an aminophylline (xanthine derivative) infustion for 24hrs. The nurse will expect to see which adverse effect when assessing the patient during the infusion?
a. CNS depression
b. sinus tachycardia
c. increased appetite
d. temporary urinary retention
Answer: b. sinus tachycardia
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When working with clients, the nurse is aware that the time between the entry of an infectious agent into the client and the onset of symptoms is:
a. convalescence period c. incubation period b. illness d. prodromal period
Whenever a suspected victim of violence is brought into the health care system, the first priority is to
1. ensure the client's safety. 2. assure the client's relatives. 3. ensure a thorough nursing assessment. 4. ensure an examination for possible evidence.
The nurse gathers much data when caring for clients. Which is an example of the higher-level "information" useful in caring for clients?
1. The vital signs are BP of 130/70, HR of 88, RR of 24, temperature of 98.8 degrees F., and oxygen saturation of 98%. 2. Lab work results include an electrolyte panel and complete blood count with differential. 3. The client is a widowed 64-year-old black male admitted with prostatitis. 4. After receiving Rocephin (ceftriaxone sodium) 1.0 gram IV yesterday, the client reported feeling better today.
Nursing home policy states that a registered nurse must cosign all charts that licensed practical nurses complete. What is the effect of this policy on the registered nurse?
1. It places the RN in the position of endorsing and authenticating the entries made in the charts cosigned. 2. It gives legal proof that the RN was in the facility. 3. It has no legal effect on the RN. 4. It makes the RN personally liable for any subsequent harm that befalls the patient.