A patient's medication regimen for the treatment of hypertension includes hydrochlorothiazide. Following administration of this medication, the nurse should anticipate what effect?
A) Drowsiness or lethargy
B) Increased urine output
C) Decreased heart rate
D) Mild agitation
Ans: B
Feedback:
Thiazide diuretics lower BP by reducing circulating blood volume; this results in a short-term increase in urine output. These drugs do not cause bradycardia, agitation, or drowsiness.
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A child has an invasive intracranial pressure monitoring device in place. Which assessment finding indicates that goals for a priority nursing diagnosis have been met?
A. Daily weight equals admission weight. B. Joints move freely during range of motion. C. No signs of infection are present at the insertion site. D. Skin is intact without redness or breakdown.
A patient with severe nerve pain from spinal cord compression is considering surgery to sever the nerves and relieve the pain. What should the nurse encourage the patient to consider prior to having this surgery?
1. There may be loss of motor function associated with the nerves that will be severed. 2. The surgery will need to be repeated when the nerves regenerate. 3. Pain medication will still be needed after the surgery. 4. The patient will be a paraplegic after the surgery.
During a well-baby check-up, a mother of an infant says to the nurse, "I have ipecac syrup at home just like my mother did for me." The nurse's best response is:
a. "Ipecac syrup should not be around infants, and we don't use it in infants, because of the risk of aspiration." b. "If your baby does experience poisoning, be sure to give the ipecac." c. "When using ipecac with the baby, use caution that he doesn't choke when he vomits." d. "Let me show you the proper position to hold the baby to prevent aspiration when he vomits."
"To prevent the spread of hepatitis A virus (HAV) infection the nurse is especially careful when
A. Disposing of food trays B. Emptying bed pans C. Taking an oral temperature D. Changing IV