The nurse is caring for a patient who uses marijuana. Which observations suggest that the amount of marijuana that the patient is using is dose-related?
Select all that apply.
1. fetal CNS disturbances
2. tachycardia
3. asthma with long-term use
4. diuresis
5. hypertension
Correct Answer: 1, 2, 3
The use of cannabis during pregnancy can cause fetal CNS changes because it crosses the placental barrier; this interferes with breastfeeding. It also causes tachycardia and with long term use; can cause asthma, bronchitis; and can increase the risk of respiratory cancer. Diuresis is not caused by cannabis, but is caused by the use of caffeine. Hypertension is found in cocaine users.
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A patient is diagnosed with heart failure. She asks the nurse the cause of heart failure. Which of the following statements describes the cause of heart failure?
A) "Heart failure can be caused by atherosclerotic plaque due to high-fat diets." B) "Hypothyroidism will result in decreased heart rate and development of heart failure." C) "The administration of diuretics decreases blood volume, causing symptoms to develop." D) "The use of digoxin (Lanoxin) will slow heart rate to cause congestive heart failure."
The nurse is charting using paper nursing notes. The nurse is aware that:
a. attorneys are not allowed access to medical records during litigation. b. when mistakes are made in documentation, the nurse should scribble out the entry. c. only one nurse should document on a sheet so that it can be removed in case of error. d. the medical record is the most reliable source of information in any legal action.
In planning care, the nurse considers the elevation in the prostatic specific antigen (PSA) level to mean that there is:
1. a possibility of prostatic cancer. 2. an erectile dysfunction. 3. a probability of orchiditis. 4. a significant indication of Peyronie's disease.
You just finished smoking a cigarette. Before going to a patient or resident, you must:
a. Extinguish the cigarette b. Put your smoking materials away c. Practice hand washing d. Put on clean gloves