When assessing the client for adverse reactions that can result from taking MDMA, the nurse should observe for:
a. brain damage and disruptions in temperature and cardiovascular regulation
b. dehydration and central nervous system collapse
c. liver deterioration and psychosis
d. depression and respiratory failure
A
Adverse reactions to ecstasy (MDMA) include brain damage and disruptions in temperature and cardiovascular regulation.
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A woman who wishes to become pregnant again consults with the nurse about preventing her child from being born with clubfoot. She has two other children, both treated for this disorder. Which information does the nurse provide about preventing clubfoot?
A. Avoid secondhand cigarette smoke while pregnant B. Fetal positioning in utero cannot be controlled C. Getting enough folic acid early in pregnancy is advisable. D. The disorder is genetic so no prevention is available.
The nurse is caring for a client with an external fixator that requires pin care twice a day. The nurse observes that there is a new purulent drainage around one of the pins. What intervention should the nurse anticipate doing?
A) Scrubbing the drainage from around the pin site B) Obtaining a culture C) Applying iodine-based solution D) Apply ointment to the pin site.
Which of the following correctly indicates the amount of clinical control nursing has over the implementation and evaluation of an intervention?
a. Dependent variables must be under nursing control. b. Experimental controls must be maintained in the clinical area when the intervention is implemented in daily practice. c. Nursing must have independent control over the intervention if it is to be implemented successfully. d. Valid clinical measures need to be available to clinical nurses to monitor outcomes from interventions.
The emergency medical technicians (EMTs) arrive at the emergency department with an unresponsive client with an oxygen mask in place. What will the nurse do first?
a. Assess that the client is breathing ade-quately b. Insert a large-bore intravenous line c. Place the client on a cardiac monitor d. Assess for best neurologic response