A nurse cares for an 80-year-old man who takes tricyclic antidepressants. The patient just had a thyroidectomy, and morphine is prescribed for postoperative pain

Which nursing diagnoses should be added to the plan of care related to possible drug interactions? You may select more than one answer. a. Risk for urinary retention
b. Risk for tachypnea
c. Risk for constipation
d. Risk for bladder spasticity
e. Risk for infection


a, c

Nursing

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A nurse is assisting the health care provider who is intubating a client. The provider has been attempting to intubate for 40 seconds. What action by the nurse takes priority?

a. Ensure the client has adequate sedation. b. Find another provider to intubate. c. Interrupt the procedure to give oxygen. d. Monitor the client's oxygen saturation.

Nursing

The final stage of human growth and development is:

a. integrity. b. death. c. despair. d. resolution.

Nursing

A clientt is prescribed to receive a tube feeding of 600 mL ½ strength Ensure over 4 hours. The infusion set delivers 15 gtt/mL. How many drops per minute should the nurse set the tube feeding to provide to the client?

1. 24 gtt/mL 2. 38 gtt/mL 3. 43 gtt/mL 4. 51 gtt/mL

Nursing

A nurse working in a community pediatric clinic explains the process of toilet training to mothers of toddlers. Which is a recommended guideline for initiating this training?

A) The child should be able to hold urine for four hours. B) The child should be between 18 and 24 months old. C) The child should be able to communicate the need to void. D) The child does not need the desire to gain control of voiding.

Nursing