Which side effect may the client experience after the administration of intrathecal opioids using fentanyl?
a. Dizziness
b. Headache
c. Pruritus
d. Dry mouth
C
Pruritus is a common adverse effect associated with intrathecal fentanyl and many systemic opioids. Dizziness, headache, and dry mouth are not adverse effects of intrathecal fentanyl.
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During a physical examination, the nurse discovers that the patient demonstrates signs of flushed, dry, hot skin; dry oral mucous membranes; and temperature elevation
The nurse should treat these data as the basis of a nursing diagnosis plan, as they represent: a. symptoms. b. data clustering. c. signs of fluid overload. d. urinary retention.
An adult weighing 71.8 kg has an order to titrate between 3.5 and 6 mg/kg/hr. The solution available contains 500 mg in 250 mL. Calculate dosage range in mg/hr and flow rate range in mL/hr
What will be an ideal response?
Which of the following are actions the nurse can take to help victims of abuse: (SELECT ALL ANSWERS THAT APPLY)
A) Reassure the patient that everything possible is being done to ensure the patient's safety. B) Don't show empathy to the abuser. C) Know your own thoughts and feelings about abuse. D) Take the burden of deciding about notifying authorities off the patient and do it yourself. E) Remain nonjudgmental F) Know and follow agency policies.
A nurse provides instructions to a female client regarding the procedure for collecting a midstream urine specimen. What should the nurse tell the client?
A. That she should douche before collecting the specimen B. That she should cleanse the perineum from front to back C. That she should collect the urine in the cup as soon as the urine flow begins D. That she should collect the specimen at bedtime and bring it to the laboratory the next morning