The nurse follows which procedures when giving intravenous (IV) cyclosporine?
(Select all that apply.)
a. Administering it as a single IV bolus injection to minimize adverse effects
b. Using an infusion pump to administer this medication
c. Monitoring the patient for potential delayed adverse effects, which may be severe
d. Monitoring the patient closely for the first 30 minutes for severe adverse effects
e. Checking blood levels periodically during cyclosporine therapy
f. Performing frequent oral care during therapy
ANS: B, D, E, F
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A client is prescribed androgen therapy. Which of the following would the nurse explain as a possible adverse effect?
A) Severe bleeding from the vagina B) Weight gain C) Decreased libido D) Areolar pigmentation
The instructor is working with the informatics nurse to plan training for the new clinical information system. Which approach provides the most effective end-user learning experience?
A) Real client data are utilized for realistic practice. B) The equipment used for training is the same used in the clinical setting. C) Two employees share each workstation for mutual encouragement. D) The live system is used with simulated client data.
A home health nurse is visiting a client living with his parents who has severe depression and is considered at risk of suicide. When the client refuses to sign a "no harm" contract, the most ap-propriate action by the nurse is to
a. call 911, explaining that there is a psychiatric emergency. b. instruct family members to keep a close watch on the client. c. schedule another visit for the following day. d. telephone the physician for a referral to a psychiatric nurse.
A patient who has been casted for a fracture of the left ulna asks the nurse when the cast will come off. The nurse's response is based on the knowledge that the cast will be removed when which physiologic parameter has been met?
1. The remodeling phase of the bone healing process has been completed, allowing for application of mechanical stress. 2. A cartilage collar can be clearly felt at the site of the original break. 3. A specific amount of time has passed, predetermined by the severity of the break. 4. The X-ray of the fractured bone shows that the ends are well joined.