After administering a decongestant, which of the following would the nurse include in the ongoing assessment? Select all that apply
A) Heart sounds
B) Blood pressure
C) Level of congestion
D) Therapeutic effect
E) Pain assessment
Ans: B, C, D
Feedback:
The ongoing assessment for a client taking a decongestant should include assessment of blood pressure and pulse and asking about level of congestion, therapeutic effect, and adverse reactions.
You might also like to view...
A Cuban-American infant is admitted to the pediatric unit for observation. When assessing the family's interactions the nurse notes the mother does all the care of the child while the father seems detached from the infant
Which nursing diagnosis is the most appropriate for this situation? 1. Family Processes; Dysfunctional. 2. Role Performance; Ineffective. 3. Violence; Other-Directed, Risk for. 4. Family Processes; Readiness for Enhanced.
Clients with eating disorders usually discover the onset of the disease to be triggered by childhood events. Based on this knowledge, which of the following are appropriate nursing diagnoses for these clients? (Mark all that apply.)
A) Body image disturbance B) Powerfulness C) Anxiety D) Posttrauma response E) Social gregarity
In developing countries, nutrition transition often leads to a combination of underweight in children and overweight in adults. A partial explanation for this involves which of the following?
1. Availability of low-cost fruits and vegetables 2. Availability of cheap energy-dense foods 3. Home-cooked meals 4. Children exercising too much
A patient with negative skin test will develop
A. an area of induration and erythema 5 mm in diameter. B. an area of induration and erythema 15 mm in diameter. C. an area of induration and erythema 10 mm in diameter. D. an area of erythema 20 mm in diameter.