Which adverse drug effect associated with conjugated estrogen (Premarin) is the most common?
a. Metallic taste in the mouth
b. Nausea
c. Tarry stools
d. Constipation
ANS: B
Common minor adverse effects of estrogen pharmacotherapy include nausea, headache, midcycle bleeding, breast tenderness and enlargement, abdominal bloating, and increased vaginal dis-charge.
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The nurse is interviewing a client who states the presence of urinary incontinence with coughing and sneezing. The nurse would correctly document this type of incontinence as which of the following?
1. Functional 2. Reflex 3. Stress 4. Urge
While auscultating the fetal heart rate at 20 weeks gestation, you get a reading of 90 . What does this most likely represent?
a. Fetal distress b. Umbilical souffle c. An accurate reading of the fetal heart rate d. Uterine souffle
The nurse is using I-SBAR to provide a report to an intensive care nurse for a client transfer. Which statements indicate that the nurse is using this communication technique appropriately?
1. "Mr. Collins has a history of peptic ulcer disease." 2. "Hi Susan, my name is Janie and I've been taking care of Mr. Collins all day." 3. "It's no wonder he's bleeding from his stomach; he drinks a six pack of beer every day." 4. "Late this morning Mr. Collins became nauseated and vomited 250 mL of bright red emesis." 5. "He has bowel sounds in all 4 quadrants, is not experiencing any pain, but has a heart rate of 110 and blood pressure of 98/50 mm Hg."
The nurse is preparing to start an IV on a 92-year-old patient. The nurse realizes that she may need to take which of the following actions? (Select all that apply.)
a. Avoid using veins in the hand. b. Avoid using veins in the dominant arm. c. Use the largest-gauge catheter possible for maximum flow. d. Avoid using a tourniquet.