A client in labor received a dose of meperidine (Demerol) for pain control. Which assessment findings should the nurse suspect are adverse effects of this medication? Select all that apply
1. Nausea
2. Pruritus
3. Sedation
4. Bradycardia
5. Hypotension
1, 2, 3
Explanation
1. Nausea is an adverse effect of meperidine.
2. Pruritus is an adverse effect of meperidine.
3. Sedation is an adverse effect of meperidine.
4. Bradycardia is an adverse effect of fentanyl.
5. Hypotension is an adverse effect of nalbuphine hydrochloride and fentanyl.
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A patient who is on a ventilator has been declared brain dead. A family member asks the nurse how the heart can still function if his father's brain is dead. What statement is an appropriate response by the nurse?
A) "Death of the heart will follow brain death in a few hours." B) "The heart is controlled by the brainstem, not the upper levels of the brain." C) "The cardiovascular center in the medulla would not be reflected in any tests." D) "The heart is self-controlled and does not depend on the brain to beat."
A nurse is caring for four patients. Which patient is at a greater risk for the development of blindness?
A) A 58-year-old Caucasian female with macular degeneration B) A 28-year-old Caucasian male with astigmatism C) A 58-year-old African American female with hyperopia D) A 28-year-old African American male with myopia
Which of the following is essential to provide the means to search the literature and apply clinical knowledge, improving practice and safety as well as meeting the standards of excellence required for regulatory and credentialing standards and
Magnet status? 1. Information technology tools 2. Computerized databases 3. Technology websites 4. Online libraries
Which patient response demonstrates that the patient whose home was destroyed by a fire is coping with the disaster?
a. Agreeing to see a grief counselor b. Stating, "At least no one was hurt in the fire." c. Addressing the details regarding the rebuilding of the house d. Stating, "I knew things were going along too well to be true."