The nurse has administrated an H1 antagonist to a 12-year-old patient who is now exhibiting paradoxical excitation. Which of the following signs and symptoms would assist the nurse in drawing this conclusion? (Select all that apply.)
a. Insomnia
b. Sedation
c. Nervousness
d. Tremors
e. Dryness
A, C, D
Paradoxical excitation is more common in children and may result in insomnia, nervousness, tremors, and even convulsions.
Sedation and fatigue would be more common in the elderly.
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A patient with aortic regurgitation is being transferred from the critical care unit to the step-down unit. The nurse receiving the patient in the step-down unit is aware that aortic regurgitation causes:
A) Blood to flow back from the aorta to the left ventricle B) Obstruction of blood flow from the left ventricle C) Blood to flow back from the left atrium to the left ventricle D) Obstruction of blood from the left atrium to the left ventricle
What is the most important action for you to teach a patient to perform before taking his or her daily dose of digoxin (Lanoxin)?
a. Check the pulse for a full 60 seconds. b. Look for edema in your ankles. c. Notify the prescriber for any heart palpitations. d. Take the drug at exactly the same time every day.
The patient is undergoing an emergency cesarean birth for fetal bradycardia. The patient's partner has not been allowed into the operating room
What can the nurse do to alleviate the partner's emotional distress? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Allow the partner to wheel the baby's crib to the newborn nursery. 2. Take digital pictures of the newborn and show them to the partner. 3. Have the partner wait in the patient's postpartum room. 4. Encourage the partner to be in the nursery for the initial assessment. 5. Teach the partner how to take the patient's blood pressure.
A patient has retained secretions in the right and left lower lobe superior bronchi. A nurse is demonstrating to family members how to perform percussion and vibration. Which action by the nurse is appropriate?
a. Positioning the patient in a chair leaning forward on a table b. Asking the patient to lie flat on the stomach with a pillow under the stomach c. Assisting the patient to the right side with the arm overhead and the feet elevated d. Asking the patient to lie on the left side with the head elevated