The nurse is administering a beta-adrenergic medication via a small-volume nebulizer. Which assessment finding requires the nurse to withhold the medication immediately?
a. Episodes of coughing
b. Rapid and shallow respirations
c. Wheezing noted on auscultation of the lungs
d. Irregular pulse with light-headedness
D
If the patient experiences cardiac dysrhythmias (light-headedness, syncope), especially if receiving beta-adrenergics, withhold all additional doses of medication, assess vital signs, and notify the prescriber regarding reassessment of the type of medication and delivery method. Coughing, rapid and shallow respirations, and wheezing would be assessed and recorded, but this would not necessarily require discontinuation of treatment. The prescriber would be notified to reassess the type of medication and/or delivery system.
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When reviewing growth and development of the adolescent with a group of parents, the nurse identifies which of the following as components and needs of this stage? Standard Text: Select all that apply
1. Independence becomes central. 2. Begin to establish long-term relationships. 3. Values are tested. 4. Assist to develop strategies for resolving conflicts. 5. Support change as necessary for health.
The nurse is caring for a patient who is taking medication that is toxic to the liver. Which laboratory test results will be reviewed by the nurse to ensure that the patient's liver is tolerating the medication without damage to the organ?
(Select all that apply.) a. Alanine aminotransferase (ALT) b. Alkaline phosphatase (ALP) c. Blood urea nitrogen (BUN) d. Anti-nuclear antibody (ANA) e. Erythrocyte sedimentation rate (ESR) f. Fibrin degradation products (FDP)
A 73-year-old man comes into the emergency department (ED) by ambulance after slipping on a small carpet in his home
The patient fell on his hip with a resultant fracture. He is alert and oriented; PERLA is intact. His heart rate is elevated, he is anxious and thirsty, a Foley catheter is placed, and 40 mL of urine is present. What is the nurse's most likely explanation for the urine output? A) The man urinated prior to his arrival to the ED and will probably not need to have the Foley catheter kept in place. B) The man has a brain injury, lacks ADH, and needs vasopressin. C) The man is in heart failure and is releasing atrial natriuretic peptide that results in decreased urine output. D) He is having a sympathetic reaction, which has stimulated the renin-angiotensin-aldosterone system that results in diminished urine output.
What is the main intended action of any type of diuretic drug?
a. Weight loss b. Potassium loss c. Increased urine output d. Decreased sense of thirst