The wife of a client who is taking tranylcypromine (Parnate) calls the clinic nurse. Which of the following reports by the wife should be considered in need of the MOST urgent attention?
a. a fever of 99.8 degrees Fahrenheit
b. blood pressure of 170/100
c. diarrhea
d. insomnia
B
The most important information reported by the wife would be that the client's blood pressure is 170/100 . Parnate is an MAO inhibitor. Clients taking MAO inhibitors who consume substances containing tyramine typically experience a dangerous rise in blood pressure. This may result in stroke or other cardiovascular catastrophe.
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While the nurse is taking the history of a 10-year-old child, the parents admit to owning firearms. An appropriate safety measure for the nurse to suggest would be which of the following?
1. Keeping all the guns put away and out of the child's reach 2. Taking the child to a shooting range for lessons on how to use a gun properly 3. Storing the guns and ammunition in the same place 4. Using a gun lock on all firearms in the house
A patient asks why all information is being entered into a computer instead of the paper chart. Which response should the nurse make about the electronic health record (EHR)? Select all that apply.
A) Improved billing processes B) Reduced amount of co-pays for office visits. C) Record available when and where needed. D) Increased control over personal health information E) Access by more than one person at any given time.
A patient with rheumatoid arthritis has a hemoglobin level of 10 g/dL. The nurse would consider this anemia to be related to inflammation if which other findings are present?
1. The patient has low vitamin B12 levels. 2. Laboratory testing shows elevated hepcidin level. 3. Increased destruction of erythrocytes is occurring. 4. Serum iron levels are low. 5. The patient's stools are guaiac positive.
List at least five measures to prevent pressure ulcers on the feet and ankles.
What will be an ideal response?