The nurse is assessing a patient on IV phenytoin (Dilantin). Which assessment finding is the nurse concerned with?
a. BP 138/86
b. Frequent hiccups
c. Irregular apical pulse
d. Nausea and vomiting
C
IV phenytoin can cause cardiac arrhythmias and hypotension, especially if given faster than 50 mg/min.
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A client has received intravenous anesthesia during an operation. What action by the postanesthesia care nurse is most important?
a. Assist with administering muscle relaxants to the client. b. Place the client on a cardiac monitor and pulse oximeter. c. Prepare to administer intravenous antiemetics to the client. d. Prevent the client from experiencing postoperative shivering.
Noct
What will be an ideal response?
The nurse is caring for a patient 5 days following clipping of an anterior communicating artery aneurysm for a subarachnoid hemorrhage
The nurse assesses the patient to be more lethargic than the previous hour with a blood pressure 95/50 mm Hg, heart rate 110 beats/min, respiratory rate 20 breaths/min, oxygen saturation (SpO2) 95% on 3 L/min oxygen via nasal cannula, and a temperature of 101.5° F. Which physician order should the nurse institute first? a. Blood cultures (2 specimens) for temperature > 101° F b. Acetaminophen (Tylenol) 650 mg per rectum c. 500 mL albumin infusion intravenously d. Decadron 20 mg intravenous push every 4 hours
You care for a child with Down syndrome (trisomy 21). This is an example of which type of inheritance?
A) Mendelian recessive B) Mendelian dominant C) Chromosome nondisjunction D) Phase 2 atrophy