The client has been ordered to be treated with Lomotil. He is also being treated with an MAO inhibitor drug. Because of this combination of medications, the nurse must be vigilant in monitoring:
a. blood pressure.
b. pulse.
c. respirations.
d. temperature.
ANS: A
The combination of Lomotil and an MAO inhibitor drug can enhance the possibility of a hypertensive crisis.
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The doctor ordered a lithium level to be drawn on a patient who is suspected to be toxic. The patient, although bipolar, is also experiencing hallucinations. The lab technician enters the patient's room to draw the specimen. The patient begins to shout, "
"I am going to be sucked dry." The nurse enters the patient's room and states the following: A. "The technician must draw your blood now." B. "Don't worry, we will leave enough for you to live." C. "I'll stay with you awhile and we can go over today's activities." D. "The technician is here to help you and needs to take your blood in order to assist you."
The nurse is administering nasal drops to treat the eustachian tube. Which position will the nurse place the client in when administering the drops?
1. Back-lying with the head over the edge of the bed 2. Back-lying 3. Back-lying with the head over the edge of the bed and the head turned toward the affected side 4. Back-lying with the head over the edge of the bed and the head turned away from the affected side
The nurse is administering rectal acetaminophen to a toddler-age client. The suppository is most easily inserted when the nurse completes which items?
Select all that apply. 1. Keeps the suppository in the refrigerator. 2. Lubricates the end to be inserted. 3. Lubricates the index finger. 4. Instructs the client to take deep breaths in through the nose. 5. Inserts the suppository 10 cm.
A nurse is performing an admission assessment of a patient with a diagnosis of cirrhosis. What technique should the nurse use to palpate the patient's liver?
A) Place hand under the right lower abdominal quadrant and press down lightly with the other hand. B) Place the left hand over the abdomen and behind the left side at the 11th rib. C) Place hand under right lower rib cage and press down lightly with the other hand. D) Hold hand 90 degrees to right side of the abdomen and push down firmly.