The nurse has a patient who is receiving selegiline (Carbex, Eldepryl). What is the nurse's priority assessment?
A) Irregular heart rate
B) Elevated blood pressure
C) Decreased urinary output
D) Gingival hyperplasia
B
Feedback:
The excessive stimulation of the sympathetic nervous system can cause severe hypertension and stroke so it is important for the nurse to assess blood pressure. Gingival hyperplasia is an adverse effect of phenytoin (Dilantin). Irregular heart rate and decreased urinary output are not adverse effects of selegiline.
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A nurse who works on a palliative care unit has developed a strong partnership with the 77-year-old wife of a client who has recently died of lung cancer. The woman has expressed her fears around being a widow to the nurse
How can the nurse best respond? A) "You will likely find that once you are remarried the grief will subside and you will move on.". B) "It's very normal to have these fears, but antidepressant medications can help immeasurably with this difficult transition.". C) "Though it might not feel like it now, many women eventually find joy in new friendships and freedom after the death of a spouse.". D) "It will be important, and healthy, for you to maintain roles and routines similar to before your spouse died.".
A client tells the nurse that her husband believes in taking herbs and centering his energies, but she only goes to see a doctor who is educated in the United States. The nurse realizes the client follows the traditional Western medical model or:
a. holistic medicine. c. allopathic medicine. b. health promotion. d. contemporary medicine.
The nurse knows that treatment of Osgood-Schlatter disease includes
a. Limitation of knee bending or kneeling b. Increasing range of motion (ROM) of the knee c. Encouraging flexion of the hip d. Limitation of adduction of the hip
The nurse is preparing to administer insulin to an underweight patient. Which actions should the nurse take when providing this injection?
Select all that apply. 1. Ensure insulin is at room temperature. 2. Make sure no air bubbles are present in the syringe. 3. Massage the site of insertion. 4. Rotate injection sites. 5. Insert the needle at a 90-degree angle.