A nurse is monitoring a client receiving tranylcypromine sulfate (Parnate). Which serious adverse reaction can occur with high dosages of this monoamine oxidase (MAO) inhibitor?
a) Hypotensive episodes
b) Hypertensive crisis
c) Muscle flaccidity
d) Hypoglycemia
Answer: b) Hypertensive crisis
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A ten-year-old boy with classic hemophilia is admitted to the hospital for hemorrhage into the knee joint. Treatment is instituted on admission. What would be an appropriate nursing diagnosis for this child?
1. Risk for impaired physical mobility related to joint stiffness and contractures 2. Risk for impaired tissue perfusion (cerebral) related to blood loss. 3. Activity intolerance related to bleeding 4. Disturbed body image related to swollen knee
Following cardiac resuscitation, a patient has been placed in a state of mild hypothermia before being transferred to the cardiac intensive care unit
The nurse's assessment reveals that the patient is experiencing neuromuscular paralysis. How should the nurse best respond? A) Administer hypertonic IV solution. B) Administer a bolus of warned normal saline. C) Reassess the patient in 15 minutes. D) Document this as an expected assessment finding.
An adult patient in the ICU has a central venous catheter in place
Over the past 24 hours, the patient has developed signs and symptoms that are suggestive of a central line associated bloodstream infection (CLABSI). What aspect of the patient's care may have increased susceptibility to CLABSI? A) The patient's central line was placed in the femoral vein. B) The patient had blood cultures drawn from the central line. C) The patient was treated for vancomycin-resistant enterococcus (VRE) during a previous admission. D) The patient has received antibiotics and IV fluids through the same line.
Asymmetrical bi-color lesion with irregular border measuring 8 mm is found on the right lower arm of an adult patient. This assessment finding is consistent with
A. Melanoma B. Basal cell carcinoma C. Leukoplakia D. Senile lentigines