CNS depression, decreased respiratory rate, constricted pupils, tachycardia, and areflexia are symptoms of overdose with which drugs?
a. Barbiturates
b. Serotonin (5HT) receptor agonists
c. Dopaminergic agents
d. Anticholinergic drugs
ANS: A
In CNS depression due to barbiturate overdose, there is slow, shallow respiration, miosis, tachycardia, areflexia (absence of reflexes), shock or coma, then death.
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Which of the following statements by patients should prompt the nurse to assess for potential failure of the adrenal cortex?
A) "I'm always exhausted these days, and I never really feel like eating." B) "Lately, I find that I'm more irritable and impatient than normal." C) "The last little while I get numbness and tingling in my lips and fingers a lot." D) "My thirst is almost insatiable these days, and my mouth always feels dry."
What should the nurse teach the parents of a child with tetralogy of Fallot to do if the child suddenly becomes cyanotic and dyspneic?
A) Place in a knee–chest position. B) Lie prone and maintain the airway. C) Lie supine with the head turned to one side. D) Place in a semi-Fowler's position in an infant seat.
The nursing class has been given the assignment of making a 2000-calorie menu for diabetics based on the carbohydrate counting method. What would be the best choice for a bedtime snack on this diet plan?
A) 1 cup of shredded wheat and 1 cup of whole milk B) 1 cup of cubed papaya and a mocha latte C) 1 cup of chocolate ice cream and 1 cup of nonfat milk D) 3 cups of no-fat-added popcorn and 1 cup of nonfat milk
After receiving change-of-shift report about the following four patients, which patient should the nurse assess first?After receiving change-of-shift report about the following four patients, which patient should the nurse assess first?
a. 39-year-old with pericarditis who is complaining of sharp, stabbing chest pain b. 56-year-old with variant angina who is to receive a dose of nifedipine (Procardia) c. 65-year-old who had a myocardial infarction (MI) 4 days ago and is anxious about the planned discharge d. 59-year-old with unstable angina who has just returned to the unit after having a percutaneous coronary intervention (PCI)