The nurse is evaluating a patient receiving hydromorphone (Dilaudid). Which findings are adverse effects of this medication? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Pruritus
2. Polyuria
3. Nausea
4. Decreased respiratory rate
5. Tachypnea
1,3,4
Rationale 1: Side effects of narcotic or opioid analgesics include itching (pruritus).
Rationale 2: Polyuria, or excessive urine output, does not occur with opiates.
Rationale 3: Side effects of narcotic or opioid analgesics include nausea and vomiting.
Rationale 4: Side effects of narcotic or opioid analgesics include respiratory depression.
Rationale 5: Tachypnea, or rapid breathing, is not an adverse effect associated with opioid analgesics.
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The nurse is preparing to insert an IV in a 16-year-old client. Appropriate IV insertion sites include:(Select all that apply) Standard Text: Select all that apply
1. Scalp veins 2. Dorsal hand veins 3. Dorsal foot veins 4. Forearm veins 5. Cephalic vein
The nurse is providing anticipatory guidance instructions to the parents of a newborn. Which instruction should the nurse give as a strategy for illness/disease prevention?
1. Don't allow visitors for the first month. 2. Smoke outside only. 3. Take the newborn to weekly child-stimulation classes. 4. SIDS risk-reduction measures
A nurse is ordered to collect a sputum specimen from a client. The nurse instructs the client to cough up the sputum to obtain the most accurate result. What is the rationale for such an instruction?
A) Prevents contamination of the specimen B) Prevents the proliferation of microorganisms C) Brings up sputum specimen from the lungs D) Reduces risk of transmission of infection
Identify an accurate statement about mineralocorticoids.
A. The main effect of the mineralocorticoid hormones is to regulate the fluid balance of the body. B. The mineralocorticoids are hormones secreted by the innermost layer of the adrenal gland. C. The most important secreted mineralocorticoid is hydrocortisone. D. The excessive use of mineralocorticoids often leads to obesity and diabetes mellitus.