A patient taking tolterodine (Detrol) reports decreased urination, ankle swelling, and a weight gain of 5 lb over the past 2 days. What should you do next?
a. Hold the dose and notifies the prescriber.
b. Check the patient's blood pressure and heart rate.
c. Give the next dose as prescribed.
d. Document the finding as the only action.
ANS: A
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A nurse at a health care center has been asked to prepare a teaching plan for a client on oxazolidinedione therapy. Which of the following points should the nurse include?
A) Avoiding exposure to ultraviolet light B) Taking the drug 2 hours after a meal C) Taking the drug with milk D) Avoiding carbonated drinks during therapy
The client develops respiratory distress during suctioning of the endotracheal (ET) tube. Which does the nurse implement for an initial response? (Select all that apply.)
1. Stop the suctioning. 2. Request assistance. 3. Administer oxygen. 4. Continue to suction. 5. Suction oropharynx. 6. Encourage coughing.
A young man is brought to the emergency department after having a seizure at home. Assessment reveals a blood pressure of mm Hg, a respiratory rate of 6 breaths/min, and cardiac dysrhythmias
The most appropriate question the nurse should ask the client's friend is a. "Does he take amphetamines or uppers?" b. "Has he ever used LSD?" c. "Have you two been out of the country in the last 2 days?" d. "Is he using any opioids such as heroin?"
A client comes into the emergency department with a body temperature of 103°F. It is a hot and humid day, and the client works in a factory with no air conditioning. To help this client, the nurse:
1. Uses warm blankets. 2. Restricts fluids. 3. Assesses vital signs. 4. Applies cool washcloths to the face and neck.