An older male patient with nausea is prescribed scopolamine (L-hyoscine). Which nursing assessment does the nurse perform to determine whether he is experiencing a serious side effect?
a. Checking capillary refill
b. Measuring abdominal girth
c. Evaluating handgrip strength
d. Evaluating daily intake and output
D
Scopolamine is an anticholinergic drug that can cause urinary retention. Older men often have some degree of prostate enlargement that may be undiagnosed and result in some urinary reten-tion. Scopolamine makes this problem worse and can cause kidney damage. Comparing urine output to fluid intake is important for this patient to determine whether severe urinary retention is occurring.
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A nurse works at a health care organization that is accredited by The Joint Commission. What is the best method for this health care organization to demonstrate that it is providing quality patient care?
a. Cost of care per patient day b. Number of registered nurses c. Absence of sentinel events d. Documentation audits
Results of a patient's preliminary assessment prompted an examination of the patient's carcinoembryonic antigen (CEA) levels, which have come back positive. What is the nurse's most appropriate response to this finding?
A) Perform a focused abdominal assessment. B) Prepare to meet the patient's psychosocial needs. C) Liaise with the nurse practitioner to perform an anorectal examination. D) Encourage the patient to adhere to recommended screening protocols.
If one nominal level variable had four categories, how many variables would used to represent the variable in a regression analysis?
a. 1 b. 2 c. 3 d. 4
A client who weighed 60 kg before becoming pregnant with twins is having a routine prenatal examination at gestational week 24. What should be this client's weight in kilograms at this time? (Round to the nearest whole number.)
What will be an ideal response?