A client is ordered to receive an anticonvulsant for seizure activity. Which side effects are most prevalent with clients who take drugs in this class?
a. Drowsiness and lethargy
b. Nausea and vomiting
c. Weight loss and anorexia
d. Hypertension and tachycardia
ANS: A
As a barbiturate, this medication is known for its sedative effect.
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The nurse admits an older male patient who had abdominal surgery. Admission vital signs are P 73, R 20, BP 136/84 mm Hg. He is receiving intravenous (IV) fluids but has not re-quested pain medication since surgery
Seven hours later, his vital signs are P 98, R 26, BP 164/90 mm Hg, and he denies pain. Which intervention should the nurse implement? a. Administer an opioid medication by IV route. b. Check the surgical dressing for bleeding. c. Report the vital signs to the health care provider. d. Ask him about discomfort at the surgical site.
An older adult client recognizes the need for help with personal care at home yet does not want to move to a nursing home or assisted living facility. Which action by the nurse may assist this client?
A) Remind the client that physical strength will grow weaker at home until a nursing home is required. B) Suggest the client move in with adult children. C) Discuss with the physician and determine that the client is unable to make decisions and must be admitted to a nursing home immediately. D) Recommend a personal care assistant to help with activities of daily living and self-care.
A patient has been treated in the hospital for an episode of acute pancreatitis The patient has acknowledged the role that his alcohol use played in the development of his health problem, but has not expressed specific plans for lifestyle changes after discharge. What is the nurse's most appropriate response?
A) Educate the patient about the link between alcohol use and pancreatitis. B) Ensure that the patient knows the importance of attending follow-up appointments. C) Refer the patient to social work or spiritual care. D) Encourage the patient to connect with a community-based support group.
During the assessment of a high-acuity patient, the nurse realizes that the patient has been on a sodium restricted diet which could impact the patient's fluid and electrolyte balance
This information was obtained from which of the following components of the fluid and electrolyte assessment? 1. vital signs 2. history 3. physical assessment 4. laboratory data