Identify three expected outcomes for J.L. as a result of your interventions
What will be an ideal response?
• Clear, normal-smelling urine
• No abnormalities present on UA and urine C&S
• Afebrile
• Decrease in heart rate
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A nurse is caring for an elderly client who has received cimetidine. Which of the following interventions should the nurse perform?
A) Monitor the client for complaints of pain or sour taste. B) Monitor the client for concentrated urine and restlessness. C) Closely monitor the client for confusion and dizziness. D) Report symptoms of tardive dyskinesia to the primary health care provider.
A nurse is teaching a group of nursing students about tricyclic antidepressants (TCAs). Which statement by a student indicates a need for further teaching?
a. "TCAs block receptors for histamine, acetylcholine, and norepinephrine." b. "TCAs block the uptake of norepinephrine and 5-HT." c. "TCAs have many side effects, but none of them are serious." d. "TCAs have other uses than for depres-sion."
A mother brings her child in for a 4-week visit to the pediatrician. You observe that the child has a diaper rash. What caregiver education would you, the nurse, provide for this mother?
1. Keep diaper areas dry and change diapers frequently. 2. Air dry the diaper area as much as possible. 3. Use baby wipes to cleanse the diaper area. 4. Choices 1 and 2
The client is quadriplegic and receives the anticholinergic drug oxybutynin (Ditropan) to increase his bladder capacity. What is an important assessment of this client by the nurse?
A. Is he irritable? B. Is he constipated? C. Is he gaining weight? D. Is he lethargic?