A patient reports the following symptoms to the nurse: nausea, loss of appetite, blurred and double vision, green yellow halos, vomiting and "feeling uneasy." What situation should the nurse suspect?
1. digoxin toxicity
2. lidocaine toxicity
3. amiodarone toxicity
4. procainamide toxicity
Correct Answer: 1
Classic symptoms of digoxin toxicity include anorexia, nausea, vomiting, blurred or double vision, yellow green halos, and new-onset dysrhythmias. Lidocaine toxicity is manifested by changes in neurologic status; amiodarone toxicity is manifested by altered hepatic function, pulmonary fibrosis and photosensitivity; procainamide toxicity is manifested by flu-like symptoms, skin rash and signs of heart failure.
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While working on the orthopedic unit, the nurse finds an assigned client pulseless and not breathing. When the code team responds, which action by the nurse is appropriate?
1. Leaving the room and calling the family members to notify them of the sudden change in the client's condition 2. Getting the crash cart and emergency supplies that will be needed by the code team 3. Participating in the code in whatever role is necessary 4. Standing at the bedside and answering questions as they arise
Which of the following client statements made by young adults suggest a risk factor for sleep disturbance problems? (Select all that apply.)
1. "I have a job that requires my attention 110% of the time." 2. "I really enjoy fishing; I wish we lived closer to a river or pond." 3. "My wife just found out she is pregnant for the third time in 5 years." 4. "My father recently suffered a heart attack, and Mom is so very worried about him." 5. "The kids are so active in after-school things that we never have an evening at home." 6. "Gardening always gave me such a sense of accomplishment, but I don't have much free time now."
One of the best ways for an interested clinical nurse specialist to establish an independent practice is to:
a. Act as a legal expert b. Learn complex assessment skills c. Market a service package d. Serve as a liaison for community programs
A student nurse is interviewing a patient being admitted to the hospital for a mastectomy. During the interview, she introduces herself as a student nurse and explains that she will be gathering some information
Which phase of the interview is this? A. Orientation B. Working C. Assessment D. Termination