A client with a brain tumor is showing more signs of confusion and the physician thinks the clients brain has some edema in the area of the tumor. The physician will prescribe which medication to this client to decrease cerebral edema?
a. phenytoin (Dilantin)
b. cimetidine (Tagamet)
c. nonsteroidal anti-inflammatory drugs (NSAIDs)
d. dexamethasone (Decadron)
D
Dexamethasone (Decadron) is given to decrease cerebral edema. Phenytoin (Dilantin) is given to prevent seizure activity. Antacids and H2 blockers, such as cimetidine (Tagamet) or ranitidine (Zantac), prevents gastric irritation. Analgesics, nonsteroidal anti-inflammatory drugs (NSAIDs), or codeine are used for headaches, and stool softeners are administered to prevent straining.
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You are developing a care plan for a patient with Cushing syndrome. What nursing diagnosis would have the highest priority in this care plan?
A) Risk for injury related to weakness B) Ineffective breathing pattern related to muscle weakness C) Risk for loneliness related to disturbed body image D) Autonomic dysreflexia related to neurologic changes
Using the first set of lab values, list the parameters that are abnormal and give the possible explanations
The following nursing interventions represent each of the four steps of a nutritional as-sessment. Rank them in order, beginning with the first step
a. Measure the midpoint of the upper arm. b. Obtain blood for serum transferrin level. c. Examine the lips, gums, and oral cavity. d. Ask for an up-to-date list of medications.
A director over multiple nursing units has known for the past year of the implementation of a new electronic bar coding medication administration system and has done nothing to prepare staff for the transition
After the first month of implementation the nursing staff is much stressed. The CNO (chief nurse officer) is concerned because the director: 1. Did not implement the bar coding system in a timely fashion. 2. Did not schedule additional staff while implementing the new system. 3. Did not take a client care assignment. 4. Has not participated in the administration of medications.