Client teaching for patients receiving beta blockers includes instructing the client:
a. to take the beta blocker when symptoms occur.
b. to have blood pressure and pulse rate checked monthly or quarterly.
c. that GI upset is a common problem and if it occurs to stop the drug.
d. not to abruptly stop taking the beta blocker because of the possible occurrence of rebound hypertension.
ANS: D
When taking beta blockers for a prolonged time, abrupt cessation of the medication may cause rebound hypertension.
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The pediatric nurse monitors a patient who has received a renal transplant. The nurse knows that the child will be on long-term medications to prevent rejection and that these medications may cause:
Select all answers that apply. A) infection. B) kidney cancer. C) diabetes mellitus. D) Cushing syndrome.
The nurse is planning to irrigate an infected wound. Which of the following should the nurse do to reduce exposure to pathogens?
1. Wear a mask or eye/face shield. 2. Wear a sterile gown. 3. Place the patient in a side-lying position. 4. Have the patient hold the wound irrigant.
A client is ordered to take the anticoagulant warfarin (Coumadin) with co-trimoxazole (Bactrim, Septra). Based on the interaction of the drugs, the client's warfarin level should be monitored and the dose may need to be adjusted in which way?
a. Increased b. Decreased c. Taken every other day d. Discontinued
Which nursing intervention is most effective in preventing hospital-acquired pneumonia in an older-adult patient?
a. Discontinue the humidification delivery device to keep excess fluid from lungs. b. Monitor oxygen saturation, and frequently auscultate lung bases. c. Assist the patient to cough, turn, and deep breathe every 2 hours. d. Decrease fluid intake to 300 mL a shift.