The patient on cromolyn for asthma is monitored carefully during reduction of the medication for which of the following reasons?
A. an increase in appetite causes weight gain
B. the asthmatic symptoms may return
C. discharge from the nasal passages increases
D. the patient’s eyes will water more
B. the asthmatic symptoms may return
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A patient is administering eye drops. What should the patient be taught in order to decrease systemic absorption of eye drops?
A) Lie supine for 1 minute after instillation. B) Apply pressure for 2 minutes over the tear duct. C) Apply pressure for 5 minutes over the tear duct. D) Remain still for 10 minutes after instillation
A 77-year-old female patient presents with increasing muscle weakness and numbness in both lower legs over the last week. She presents using crutches and with her daughter for walking assistance
Patient had influenza 3 weeks ago and was treated with amantadine. The patient denies recent trauma. Current medications include beta blocker and ACE inhibitor. Denies use of tobacco or alcohol. On physical examination, the patient is alert and oriented x 3, afebrile, pulse 66, resps 16/min, BP 110/70. Neck: no JVD, no thyromegaly, no bruits over carotid arteries. Heart: regular rate and rhythm, no murmurs. Lungs are clear to auscultation. Abdomen is non-tender with no organomegaly. Extremities: Skin is pink, cool to touch, and intact bilaterally. Hand grip strength: 5/5 bilaterally. Biceps DTR +2/4 bilaterally. Left and right quadriceps muscle strength 4/5. Patella reflex: 1/4 bilaterally. Achilles reflex: 1/4 bilaterally. Ankle strength: R + 3/5 and L + 3/5. Sensation to pinprick and cotton ball intact in face and upper extremities and bilaterally equal. Sensation to pinprick and cotton ball decreased in feet bilaterally. Dorsalis pedis pulses +1/4 bilaterally. Negative Homan's and Babinski's sign. The following disorder(s) should be high priority in the differential diagnosis: A. Amyotrophic lateral sclerosis B. Guillain-Barré syndrome C. Polymyositis D. Multiple sclerosis
With which laboratory finding for a client with a urinary tract infection should the nurse notify the physician immediately?
A. Left shift in the WBC differential B. Serum white blood cell count of 8000/mm3 C. Presence of red blood cells in the urine D. Presence of white blood cells in the urine
The nurse follows practice protocols and clinical guidelines primarily because they help to produce better patient care by reducing:
a. variations in care and increasing efficiency. b. the need for individual patient variations. c. waste of resources available in the hospital. d. the number of inpatient care days per year.