A 27-year-old male patient is taking an anticholinergic drug as adjunctive therapy to treat his peptic ulcer disease. The patient comes to the clinic and tells the nurse that he "feels his heart beating
" What adverse effect is the patient experiencing from the anticholinergic medication? A) Tachypnea
B) Tachycardia
C) Hypotension
D) Urinary frequency
B
Feedback:
Tachycardia and palpitations are possible adverse effects related to blocking of the parasympathetic effects on the heart; this would give the sensation of a heart beating. Tachypnea, hypotension, and urinary frequency are not generally adverse effects of anticholinergic medications and they would not be evident the way the patient described.
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At a recent meeting of hospital administrators there is discussion about the need to increase salary ranges to attract nurses to the hospital. Which occurrence(s) would likely affect this discussion? Standard Text: Select all that apply
1. Nursing schools in two major universities in the region have closed their nursing programs. 2. The national pass rate for NCLEX-RN has been dropped significantly for each of the last two years. 3. The rate of hospital admissions for influenza has remained stable for the last three winters. 4. A new hospital will open in an adjacent city next week. 5. The hospital has instituted a no overtime policy.
A nurse is assessing a patient 20 minutes after a bone marrow biopsy. Which statement by the patient is cause for the most concern?
a. "There is fresh blood on my dressing." b. "I am thirsty." c. "My hip feels bruised where they stuck the needle." d. "I had a sharp pain in my leg when they pulled the needle out."
Directions: Calculate the IV medication and infusion rates. Use a calculator for safe dose range calculations, multiplication, and long division as desired. Verify results using DE-style equations where requested
If the order is unsafe, do not proceed with the math. Label answers. Ordered: magnesium sulfate 2.5 g per hr IV infusion, for a patient with toxemia Existing infusion rate when nurse arrives on shift: 75 mL per hr Available: magnesium sulfate (refer to label) diluted in 500 mL D5W a. Number of milliequivalents per milliliter stated on label: b. Number of milligrams per milliliter stated in fine print on right side of label: c. Total number of grams of magnesium sulfate in 50-mL vial:Number of grams per hour infusing on the infusion pump: d. DA equation: e. Evaluation:Ordered infusion rate: f. DA equation: g. Evaluation: h. Decision:
The nurse is doing client education for a 71-year-old woman who is a resident of a long-term care facility. The assessment indicates that she is at a high risk for malnutrition. What is one reason she could give you for this risk of malnutrition?
A) "I eat most of my meals with friends." B) "I just don't have an appetite." C) "I take two different medicines every day." D) "I chew quite well with my dentures."