A client receives hydromorphone (Dilaudid) following an operative procedure. The nurse assesses the client's urine output in order to monitor for which side effect of this medication?
a. Urinary tract infections
b. Incontinence
c. Urinary retention
d. Renal failure
ANS: C
A common side effect of opioid agents is urinary retention.
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A patient tells the nurse that he becomes very angry and abusive to his friends and family when he is unable to obtain an illegal substance. How should the nurse respond to this patient?
1. "Have you considered seeking treatment for this behavior?" 2. "You must not have many friends left." 3. "Are you this argumentative when at work?" 4. "What does your family say about this?"
A client with a history of violence begins to lose control of his anger, and a nurse decides that an intervention is warranted. The client cannot be "talked down," and he refuses medication. Which is the most appropriate nursing intervention?
A) Call for assistance from the assault team. B) Ask the ward clerk to put in a call for the physician. C) Make the client go to his room. D) Tell the client that if he does not calm down, he will be placed in restraints.
The nurse is collecting data from an African-American client scheduled for surgery. Which of the following questions would be of least priority for the nurse to ask on initial assessment?
1. "Do you ever experience chest pain?" 2. "Do you have any difficulty breathing?" 3. "Do you have a close family relationship?" 4. "Do you frequently have episodes of headache?"
Illicit use of which of the following substances is associated with sudden cardiacarrest?
A) Heroin B) Angel dust C) Marijuana D) Cocaine