A client reports to the nurse that last night she had difficulty falling sleep. She states she returned
home from a social evening with friends, during which she consumed several alcoholic drinks.
When unable to fall sleep after half an hour in bed, she brewed herself two cups of herbal tea
containing valerian. In the morning she awakened with a severe headache and blurred vision. The
nurse should explain that
a. valerian should be taken before use of alcohol to avoid unpleasant side effects.
b. the side effects are those of "hangover" from excessive alcohol use.
c. valerian may potentiate the effects of other central nervous system depressants.
d. herbal teas contain several active ingredients that may produce unpleasant effects.
C
Valerian has sedative properties. In high doses side effects include blurred vision and headache.
Valerian is known to potentiate the central nervous system depressant effects of other drugs with this
action. The nurse should advise caution in ingesting alcohol and valerian for these reasons. Option A
is untrue. Option B is not entirely correct. Option D is not relevant to this situation.
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The nurse manager is planning strategies to empower nurses. Which is most likely to be beneficial to a frontline nurse at the point of service? Select all that apply
1. A library where nurses can read quietly during breaks and lunch 2. A strong, well-organized orientation program for new hires 3. A weekly staff meeting with CE opportunities offered frequently 4. An active, well-attended bicycling club which meets every week 5. A manager who encourages staff to join professional organizations
A 77-kilogram patient with burns to the front of the torso, both arms, and face is being treated in the emergency department. Using the Parkland formula, how much lactated Ringer's solution does the nurse anticipate infusing of the first 8 hours?
A) 3,118 mL B) 6,237 mL C) 12,474 mL D) 24,948 mL
When is the nurse correct in decreasing the dose of pain medication in a client with end-stage cancer?
a. The spouse is worried that the client may become addicted. b. The client wants to remain alert during the visit of a long-time friend. c. The client has lost considerable weight and does not want to eat. d. The client is becoming combative at night.
A mother expresses amazement that her school-aged son, who was somewhat slow to crawl and walk, is now riding a bicycle and in-line skating
The nurse would explain that the child is able to do these new activities well because of which of the following? Select all that apply. a. Taking longer to crawl and walk provides a much better balance and coordination system. b. Improved balance and coordination are part of the growth and development of this age. c. Children who are slower in developing initial skills seem to have more high-risk behaviors later. d. This child has developed the muscles needed for bicycling and in-line skating.