A patient has been taking phenobarbital for 2 weeks as part of his therapy for epilepsy
He tells the nurse that he feels tense and that "the least little thing" bothers him now. Which is the correct explanation for this problem?
a. These are adverse effects that usually subside after a few weeks.
b. The drug must be stopped immediately because of possible adverse effects.
c. This drug causes the rapid eye movement (REM) sleep period to increase, resulting in nightmares and restlessness.
d. This drug causes deprivation of REM sleep and may cause the inability to deal with normal stress.
ANS: D
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The nurse understands that the client with renal failure may be unable to:(Select all that apply)
1. To reabsorb and regenerate bicarbonate 2. Excrete bicarbonate and retain hydrogen ions in order to increase pH 3. Reabsorb and regenerate bicarbonate and excrete hydrogen ions to increase pH 4. Provide the short term regulation of acid base balance 5. Retain hydrogen ions in order to make more acid available to offset the bicarbonate
The patient's ICP reading has gradually climbed from 15 to 23 mm Hg. The nurse's primary action is to:
a. drain off 7 mm of CSF from the catheter. b. notify the physician. c. place the patient in a high Fowler position to decrease the pressure. d. check level of consciousness.
Express the dosage using the official symbol/abbreviation: 1 part drug to 100 parts solution
What will be an ideal response?
The client asks the nurse what common side effects of calcium channel blockers are. What should the nurse include in client teaching? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. 1. Headache 2. Constipation 3. Epistaxis 4. Edema of lower extremities 5. Dysuria