Which is the most important precaution for the nurse to take when administering pentamidine (Pentam) intravenously to a client with pneumocystis pneumonia?
A. Monitoring intake and output
B. Checking the IV site hourly for phlebitis
C. Assessing the client hourly for manifestations of hypoglycemia
D. Assessing deep tendon reflexes and handgrip strength bilaterally
C
This drug can induce a rapid and severe state of hypoglycemia that can be fatal. Clients receiving IV pentamidine should be monitored no less than every hour for subjective symptoms of hypog-lycemia and blood glucose level.
You might also like to view...
What wave on an ECG strip indicates to the nurse that the client is having a current MI and has an old MI?
a. inverted T wave c. prolonged QRS b. abnormal Q wave d. shortened ST seg-ment
A client is newly diagnosed with dissociative identity disorder. To support this client who is struggling to accept the diagnosis, the nurse would:
A) Discourage the use of psychometric tests. B) Flood the client with stressful stimuli. C) Assess for secondary gain to confront the client. D) Actively listen to each identity state and provide support.
When transferring persons, you should use good body mechanics. This includes which of the following?
a. Stand with a narrow posture. b. Face the person. c. Bend your back, not your legs. d. Use your arms to do the work.
The nurse is caring for a young adult in the mental health clinic. The client tells the nurse that he was physically neglected as a child. The nurse should assess the client for symptoms of which of the following?
A) Major depression B) Schizophrenia C) Narcissistic personality disorder D) Panic disorder