A patient has been taking methadone (Dolophine) for 5 months to overcome an opioid addiction. The nurse should monitor the patient for which of the following electrocardiographic changes?
a. Prolonged QT interval
b. Prolonged P-R interval
c. AV block
d. An elevated QRS complex
ANS: A
Methadone prolongs the QT interval. It does not prolong the P-R interval, cause AV block, or produce an elevated QRS complex.
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The nurse is caring for a patient who expresses an interest in the use of complementary and alternative medicine (CAM) for the treatment of anxiety. The patient asks the nurse about using Kava to treat his anxiety. What is the nurse's best response?
1. "Kava may be effective for long-term treatment of mild anxiety symptoms." 2. "Kava may be effective for the treatment of anxiety symptoms." 3. "Kava may be effective for short-term treatment of mild anxiety symptoms." 4. "Kava may be effective for short-term treatment of severe anxiety symptoms."
Under managed care, how are the client and family likely to view the experience of hospitalization?
a. As an unpleasant interruption of daily life b. Too short to produce complete wellness c. Too restrictive to help with adjustment to the community d. A pleasant vacation from the pressures of life in the community
Thoracentesis is a procedure performed for diagnostic purposes or to aspirate accumulated excess fluid or air from the pleural space. What does purulent fluid indicate?
A) Cancer B) Infection C) Inflammation D) Heart failure
The nurse volunteers services at a free medical clinic. What is true of these donated services?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. They fall under the auspices of the state nurse practice act. 2. Since the nurse is serving as a volunteer an exemption from possible lawsuit exists. 3. The nurse should practice as a reasonably prudent nurse when providing these services. 4. The nurse should assure that a system of record keeping is initiated and maintained. 5. The nurse's actions will be protected by Good Samaritan laws.