A 29-year-old female experiences shortness of breath, urticaria, and bilateral wheezing shortly after you started an IV of normal saline. How should you manage this situation?
A. Place her on her left side with her head down.
B. Change the IV tubing and continue the IV.
C. Leave the catheter in place and remove the solution.
D. Discontinue the IV and remove the catheter.
Answer: C. Leave the catheter in place and remove the solution.
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To evaluate an expected outcome, the outcome must be reasonable and:
a. easy. b. proven. c. measurable. d. functional.
A patient comes to the ophthalmology for an eye examination. The patient tells the nurse that he often sees fibers in his vision. What should the nurse respond to the patient?
A) This is a normal aging process of the eye. B) Glasses will minimize this. C) He may be exhibiting signs of glaucoma. D) This may be a result of weakened ciliary muscles.
The nurse is interviewing Jessica, 18 years old, about her eating behaviors. Jessica's parents have brought her to treatment because her mother suspects that Jessica has been binge eating and vomiting
The nurse asks Jessica if she ever feels that she cannot control her eating. Jessica is silent for a moment, and her mother states, "I know she can't control it; she ate an entire cake last night!" Which of the following comments by the nurse is best? A) "I see. Jessica, why did you feel like you have to eat so much?" B) "Do you often have to answer for your daughter?" C) "Jessica, is what your mother said true?" D) "I see. Jessica, do you ever feel as though you cannot control your eating?"
When caring for a client who is receiving phenytoin (Dilantin) for seizure control, the nurse emphasizes meticulous oral hygeine to the cleint, stating that phenytoin has which of the following effects on oral tissue?
a) It causes hyperplasia of the gums b) It increases the alkalinity of the oral secretions c) It destroys tooth enamel d) It increases bacterial growth in the gum line