A patient prescribed metoclopramide (Reglan) for 15 months develops these finding
s: uncontrolled rhythmic movement of the face, lip smacking, uncontrolled chewing, and rapid or wormlike movements of the tongue. What is your best action?
a. Transfer the patient to a critical care bed immediately.
b. Document the findings and contact the prescriber.
c. Ask if the patient has any drug, pet or food allergies.
d. Place the patient on bed rest and keep him or her NPO.
ANS: B
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When performing a wet to moist dressing, the nurse should:
a. apply a wet dressing to the wound for 30 minutes, remove the wet dressing and then apply a dry sterile dressing. b. apply wet soaks and cover with a dry dressing. c. irrigate the wound with prescribed irrigant and apply a dry sterile dressing. d. gently pack the wound with slightly moist gauze and cover with a dry sterile gauze.
Which of the following techniques may be used to enhance coping?
a. Encouraging the patient to let the staff have total control of the patient's care b. Encouraging denial of the illness c. Letting the patient know everything will be all right d. Fostering trust in the health care team
The classic textbook sign of pyloric stenosis is:
a. Copious diarrhea b. Projectile vomiting c. Hematemesis d. Anorexia
When caring for the child with Kawasaki disease, the nurse should know which information?
a. A child's fever is usually responsive to antibiotics within 48 hours. b. The principal area of involvement is the joints. c. Aspirin is contraindicated. d. Therapeutic management includes administration of gamma globulin and aspirin.