The nurse determines that a patient taking metronidazole (Flagyl) for a protozoan infection has been drinking alcohol while taking the medication. What assessment finding did the nurse use to make this clinical decision? Select all that apply.
A. Flushing
B. Vomiting
C. Severe headache
D. Sore throat
E. Bruising
Answer: C
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Before administering the continuous nasointestinal tube (NIT) feeding, the nurse verifies placement of the client's NIT and flushes it with water. Which should the nurse implement next?
1. Instill the formula at room temperature. 2. Infuse the formula over 10 to 15 minutes. 3. Raise syringe feet above insertion site. 4. Attach feeding bag to proximal end of NIT.
Using a concept map to graphically depict the symptoms and issues present helps the nurse to:
a. quantify the symptoms and issues to justify the highest remuneration schedule b. identify the primary focal issues that relate to or are the basis for most of the others c. conserve time and paper by drawing it all out on one page instead of dictating a long history d. codify the client record so that personal, intimate issues are not readily apparent to others
The nurse is assessing a child post–cardiac catheterization. Which complication might the nurse anticipate?
a. Cardiac arrhythmia c. Congestive heart failure b. Hypostatic pneumonia d. Rapidly increasing blood pressure
The nurse is reviewing a patient's diagnostic test report. For which tumor diameter should the nurse evaluate the report to determine if cancer is present?
a. 0.5 cm b. 1 cm c. 2 cm d. 5 cm