The patient who is taking digitalis for his heart condition becomes extremely dehydrated and has scant urine output. The nurse will assess regularly for the complaint of:
a. left arm pain.
b. blurred vision.
c. itching.
d. increasing edema.
B
Blurred vision, halos around lights, nausea, vomiting and diarrhea, and fatigue are all indicators of toxicity to digitalis. Assessment is especially important for the dehydrated patient because of the rising potassium level.
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Before auscultating the abdomen for the presence of bowel sounds on a patient, the nurse should:
a. Warm the endpiece of the stethoscope by placing it in warm water. b. Leave the gown on the patient to ensure that he or she does not get chilled during the examination. c. Ensure that the bell side of the stethoscope is turned to the "on" position. d. Check the temperature of the room, and offer blankets to the patient if he or she feels cold.
A mother planned to breastfeed her infant before giving birth at 33 weeks of gestation. The infant is stable and receiving oxygen. What is the most appropriate nursing action related to this?
a. Assist the mother in expressing breast milk. b. Assess the infant's readiness to breastfeed. c. Explain to the mother that the infant is too small to receive breast milk. d. Reassure the mother that infant formula is a good alternative to breastfeeding.
The nurse is caring for a 60-year-old female client who is diagnosed with a brain abscess. If left untreated, what condition may develop as a result of a brain abscess?
A) Guillain-Barré syndrome B) Acute Transverse Myelitis C) Meningitis D) Shingles
What are the two defining characteristics of Autism Spectrum Disorder?