The nurse is helping an older patient with a history of angina ambulate in the hallway after minor surgery. The patient complains of chest tightness. What should the nurse do first?
a. administer nitroglycerin sublingually
b. call for help
c. have the patient sit and rest
d. take the vital signs
C
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A patient has been admitted to the emergency department for a suspected drug overdose. His respirations are shallow, with an irregular pattern, with a rate of 12 respirations per minute
The nurse interprets this respiration pattern as which of the following? a. Bradypnea b. Cheyne-Stokes respirations c. Hypoventilation d. Chronic obstructive breathing
A patient has been living with seasonal allergies for many years, but does not take antihistamines, stating, "When I was young I used to take antihistamines, but they always put me to sleep." How should the nurse best respond?
A) "Newer antihistamines are combined with a stimulant that offsets drowsiness." B) "Most people find that they develop a tolerance to sedation after a few months." C) "The newer antihistamines are different than in years past, and cause less sedation." D) "Have you considered taking them at bedtime instead of in the morning?"
A patient diagnosed with schizophrenia has taken thiothixene (Navane) 5 mg/day for 4 years with good symptom control
Today, the patient is admitted with paranoia and auditory hallucinations. The nurse should determine if the patient's symptoms are related to: a. not taking the drug as prescribed. b. activation of serotonin receptors. c. development of tolerance to the drug. d. an expected illness-exacerbation cycle.
What should a nurse suggest to the parent of a child with insulin-dependent diabetes mellitus (IDDM) who is not eating as a result of a minor illness?
a. Give the child half his regular morning dose of insulin. b. Substitute calorie-containing liquids for solid food to maintain normal serum glucose levels. c. Give the child plenty of unsweetened, clear liquids to prevent dehydration. d. Take the child directly to the emergency department.