The Physician's Desk Reference gives the nurse information that a certain drug causes muscarinic
receptor blockade. This alerts the nurse to assess the client for
a. gynecomastia.
b. pseudoparkinsonism.
c. orthostatic hypotension.
d. dry mouth.
ANS: D
Muscarinic receptor blockade includes atropinelike side effects such as dry mouth, blurred vision,
and constipation. Option A: Gynecomastia is associated with decreased prolactin levels. Option B:
Movement defects are associated with dopamine blockade. Option C: Orthostatic hypotension is
associated with a1 antagonism.
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A nurse cares for a client with a fractured fibula. Which assessment should alert the nurse to take immediate action?
a. Pain of 4 on a scale of 0 to 10 b. Numbness in the extremity c. Swollen extremity at the injury site d. Feeling cold while lying in bed
When assessing the patient with thrombocytopenia, the nurse observes for:
1. distended neck veins and skin discoloration. 2. discoloration of the nails and sclera. 3. petechiae on the skin and bleeding gums. 4. enlarged thyroid gland and excitability.
The nurse is preparing to give a 34-month-old toddler who has a persistent cough some cough syrup. Which of the following statements by the nurse would best help the toddler understand why he or she is being given this medicine?
a. "This will help you not to cough your head off." b. "This medicine will help you feel better and will help your cough go away." c. "If you take this, you won't have to have a stick in the arm." d. "The doctor wants you to take this medicine whenever you have a bad cough."
Why is it important for some families to construct a genogram?
a. It allows nurses to diagnose disease patterns. b. It brings the family together to do a mutual task. c. It shows family history and patterns of health-related information. d. It provides a visual diagram of the family unit in relation to other subsystems.