A client undergoing a colonoscopy experiences a decrease in pulse rate from 76 beats/min to 50 beats/min. What medication should the nurse be prepared to administer?
A. Atropine
B. Lidocaine
C. Epinephrine
D. Procainamide
A
The nurse should prepare to administer atropine, because a vasovagal reflex can be stimulated during the procedure, leading to bradycardia.
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The nurse is caring for several clients on the respiratory floor. Which client does the nurse assess most carefully for the development of acute respiratory distress syndrome (ARDS)?
a. Older adult with COPD b. Middle-aged client receiving a blood transfusion c. Older adult who has aspirated his tube feeding d. Young adult with a broken leg from a motorcycle accident
Rho(D) immune globulin will be ordered postpartum if which situation occurs?
a. Mother Rh-negative, baby Rh-positive b. Mother Rh-negative, baby Rh-negative c. Mother Rh-positive, baby Rh-positive d. Mother Rh-positive, baby Rh-negative
Which teaching points would you include for a patient who is taking laxatives for constipation? (select all that apply)
a. Drink between 1500 and 2000 mL of fluids every day. b. Avoid bulk foods such as whole-grain bread and vegetables. c. Use the bathroom right away when you feel the urge to have a bowel movement. d. Try to get some regular exercise each day to prevent constipation. e. Take your laxative with at least 4 ounces of water so it can be effective. f. Laxatives are usually prescribed for one 2 to 3 weeks.
The client asked the nurse about how colesevelam HCl works to decrease serum LDL. The nurse's best response is:
a. "It works by increasing the conversion of cholesterol to bile acids." b. "It works by reducing the demand for cholesterol in liver cells." c. "It works by lowering the clearance of LDL cholesterol in the blood." d. "It works by decreasing the number of hepatic LDL receptors."