A client diagnosed with viral rhinitis tells the nurse that she has been using a decongestant nasal spray for several weeks and the symptoms are getting worse. Which of the following does the nurse suspect is occurring with this client?
1. Developing pneumonia
2. Subacute rhinitis
3. Rhinitis medicamentosa
4. Chronic otitis media
3
Rhinitis medicamentosa can occur with overuse of decongestant nasal sprays, and it leads to rebound nasal congestion that is often worse that the original nasal congestion. The use of nasal sprays does not cause pneumonia, subacute rhinitis, or chronic otitis media.
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The nurse is caring for a 63-year-old patient with ovarian cancer. The patient is to receive chemotherapy consisting of Taxol and Paraplatin. For what adverse effect of this treatment should the nurse monitor the patient?
A) Leukopenia B) Metabolic acidosis C) Hyperphosphatemia D) Respiratory alkalosis
All infants born to mothers with diabetes are at some risk for complications
1. True 2. False
Why is it important for nurses to understand and use a nursing theory or model in practice?
a. Nurses with this knowledge automatically provide higher quality care. b. Understanding models of theories demon-strates a nurse's knowledge level. c. Keeping within the practice limits pro-vided by a model or theory protects nurses from legal action because of failure to follow the scope of nursing practice. d. Using models or theories of nursing aids practitioners in providing their care in an organized manner.
A patient who has already had one successful vaginal birth after cesarean (VBAC) has elected to deliver her third child vaginally
She reports a sudden sensation of "something snapping inside," followed by chest pain. What should the nurse do? A) Remind the patient that this stage of labor always seems longer than it really is B) Assist the patient into the squatting or hands-and-knees position C) Monitor the EFM tracing for nonreassuring patterns D) Notify the health care provider for a possible ruptured uterus