A patient has been admitted to the emergency department with a suspected overdose of a tricyclic antidepressant. The nurse will prepare for what immediate concern?
a. Hypertension
b. Renal failure
c. Cardiac dysrhythmias
d. Gastrointestinal bleeding
ANS: C
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The nurse is taking a health history of a child with suspected acute poststreptococcal glomerulonephritis. Which of the following responses would alert the nurse to a confirmed risk factor for this condition?
A) "She has been very healthy up to now.". B) "He just got over a head cold with laryngitis.". C) "My child is just 18 months old.". D) "My child has not been sick at all.".
After reviewing the electronic medical record shown in the accompanying figure for a patient who had transurethral resection of the prostate the previous day, which information requires the most rapid action by the nurse?
a. Elevated temperature b. Respiratory rate and lung sounds c. Bladder spasms and decreased urine output d. No prescription for antihypertensive drugs
Mrs. Harrison's father died a week ago. Mr. Harrison is experiencing headaches and fatigue, and keeps shouting at his wife to turn down the television, although he has not done so in the past
Mrs. Harrison is having trouble sleeping, has no appetite, and says she feels like she is choking all the time. How should the nurse interpret these assessment findings as the basis for a follow-up assessment? a. Mrs. Harrison is grieving and Mr. Harrison is angry. b. Mrs. Harrison is ill and Mr. Harrison is grieving. c. Both Mr. and Mrs. Harrison likely are in denial. d. Both Mr. and Mr. Harrison likely are grieving.
A pediatric client presents to the emergency department with acute abdominal pain followed by anorexia and nausea. The nurse suspects appendicitis
Upon palpation, the nurse anticipates identifying pain localized in which area(s) of the abdomen? Select all that apply. a. costovertebral angle c. left lower quadrant b. right lower quadrant d. periumbilical area