A client taking an oral theophylline preparation is due for her next dose and has a blood pressure of 100/50 mm Hg and a heart rate of 110. The client is irritable. What is the best action for the nurse to take?
a. Continue to monitor the client.
b. Call the health care provider.
c. Hold the next dose of theophylline.
d. Administer oxygen 2 lpm via nasal cannula.
Answer: c. Hold the next dose of theophylline.
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A child has undergone a kidney transplant, and is receiving cyclosporine. The parents ask the nurse about the reason for the cyclosporine. The nurse should explain that the drug is given to:
1. Boost immunity. 2. Suppress rejection. 3. Decrease pain. 4. Improve circulation.
Which situation is consensual sex rather than rape?
a. A husband forces vaginal sex when he comes home intoxicated from a party. The wife objects. b. A woman's lover pleads with her to have oral sex. She gives in but then regrets the decision. c. A person is beaten, robbed, and forcibly subjected to anal penetration by an assailant. d. A dentist gives anesthesia for a procedure and then has intercourse with the unconscious patient.
A client diagnosed with chronic renal failure is prescribed hydrochlorothiazide (HCTZ). The client asks the nurse which is the best fluid to drink to avoid dehydration. Which is the best response by the nurse?
1. "Iced tea or coffee is good." 2. "You may drink alcohol in moderation." 3. "Plain water is best." 4. "Electrolyte-replacement fluids like Gatorade are excellent."
Which of these clients who have just arrived in the emergency department should the nurse classify as emergent and needing immediate medical evaluation?
A. The 60-year-old with venous insufficiency who has new-onset right calf pain and tenderness B. The 64-year-old with chronic venous ulcers who has a temperature of 100.1° F (37.8° C) C. The 69-year-old with a 40-pack-year cigarette history who is reporting foot numbness D. The 70-year-old with a history of diabetes who has "tearing" back pain and is diaphoretic