A.B. complains of bladder spasms and is given a dose of oxybutynin (Ditropan XL). The

nurse will monitor for which adverse effects? Select all that apply.

a. Dry mouth
b. Watery eyes
c. Dizziness
d. Diarrhea
e. Palpitations


a, c, e
Oxybutynin adverse effects include dry mouth and eyes, dizziness, drowsiness, anxiety,
restlessness, constipation, and palpitations.

Nursing

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When assessing a 75-year-old patient who has asthma, the nurse notes that he assumes a tripod position, leaning forward with arms braced on the chair. On the basis of this observation, the nurse should:

a. Assume that the patient is eager and interested in participating in the interview. b. Evaluate the patient for abdominal pain, which may be exacerbated in the sitting position. c. Assume that the patient is having difficulty breathing and assist him to a supine position. d. Recognize that a tripod position is often used when a patient is having respiratory difficulties.

Nursing

The nurse is working with a family who survived a tornado. As part of providing care to the family, the nurse is reviewing normal reaction and emotions they may experience as a result of the traumatic event. Which conclusions does the nurse make?

Select all that apply. A) All family members will process the experience at about the same pace. B) Each member of the family has a different way of coping. C) Each family member talks to the nurse openly and freely. D) All family members will experience anxiety about self and family safety. E) Some family members have difficulty accepting help.

Nursing

Two months after a simultaneous pancreas-kidney (SPK) transplantation, a client is diagnosed as being in acute rejection

The client states, "I was doing so well with my new organs, and the thought of having to go back to living on hemodialysis and taking insulin is so depressing." Which is the nurse's best response? a. "You should have followed your drug re-gimen better." b. "You should be glad that at least dialysis treatment is an option for you." c. "One acute rejection episode does not mean that you will lose the new organs." d. "Our center is high on the list for obtain-ing organs from the national registry."

Nursing

A case manager provides a formal communication link among all parties concerning the plan of care management. Which of the following roles of the nurse is being implemented?

a. Facilitator b. Liaison c. Coordinator d. Negotiator

Nursing