The nurse is assessing a patient who was recently administered procaine for local anesthesia. Which of the following assessment findings would suggest the possibility of adverse effects?

A) Increased temperature
B) Increased heart rate
C) Decreased blood pressure
D) Lethargy


B
Feedback:
Following administration of procaine, the nurse assesses the CNS for excitability and the cardiovascular status for tachycardia and hypertension, leading to cardiovascular collapse. Lethargy, hypotension, and fever are not typical adverse effects.

Nursing

You might also like to view...

In assessing a client with a diagnosis of borderline personality disorder, who is admitted for "feeling down and suicidal," the nurse finds a history of bipolar symptoms

The nurse knows it is important to report these findings to the health care provider, because if this client has undiagnosed bipolar II disorder and the provider prescribes an antidepressant medication, the client may experience which of the following? a. prolonged depression b. a manic episode c. increased suicidal ideation d. increase in borderline symptoms

Nursing

A patient tearfully says to a nurse, "I don't want to go on living now that my spouse has left me for someone else after 20 years. Our children are grown and don't need me. I just want to die.". Which response is the most therapeutic?

a. "You're young, and you will manage well. I know several people your age who've actually done better after divorcing their spouses.". b. "It always seems bleak when we lose someone we've loved. Don't worry, it will work out—we just need to think this through.". c. "So your spouse is off having a midlife crisis and you are here thinking of killing yourself. Let's focus on how to make you feel better.". d. "I am very concerned about you wanting to die because your spouse left. Rather than trying to solve all the problems immediately let's focus on your feelings of hopelessness right now.".

Nursing

A patient presents to the clinic with complaints of muscle aches, muscle pain, and weakness. Upon review of the individual's medications, the nurse notes that the patient is concurrently tak-ing gemfibrozil (Lopid) and atorvastatin (Lipitor)

The nurse should assess the patient for the development of a. hepatotoxicity. b. hypothyroidism. c. myopathy. d. heart failure.

Nursing

Which information would be most important to help the nurse determine if the patient needs human immunodeficiency virus (HIV) testing?

a. Patient age b. Patient lifestyle c. Patient symptoms d. Patient sexual orientation

Nursing