The nurse would expect to see an adjusted dosage in what patients? (Select all that apply.)
A) Young adult women
B) Middle-aged men
C) Infants
D) Neonates
E) Older adults
C, D, E
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Patients at the extremes of the age spectrum—children and older adults—often require dosage adjustments based on the functional level of the liver and kidneys and the responsiveness of other organs. The child's age and developmental level will also alert the nurse to possible problems with drug delivery, such as an inability to swallow pills or follow directions related to other delivery methods. The adult, whether male or female, would not require altered dosage unless a secondary condition such as renal or hepatic alterations existed.
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Which of the following is an example of an ethical dilemma for a nurse?
A) Reporting a nurse who you observed putting a medication from a patient's med drawer in her pocket. B) Reporting a nurse who drank too much alcohol at a retirement party. C) Reporting a nurse who casually mentioned in the break room that she forgot to renew her nursing license. D) Reporting a parent who, as a discipline measure, struck her child in a mall.
The client who has experienced blunt trauma to the chest is at risk for developing a hemo-thorax. Which would the nurse expect to find in a client with a hemothorax?
A. Hemoptysis B. Paradoxical chest movements C. Percussion dullness on affected side D. Hypertympanic sound on affected side
The nurse realizes that medication teaching has been ineffective when the client with an anxiety disorder states, "My Prozac is not working, even though I have been taking it for:
1. "One week.". 2. "Four weeks.". 3. "Eight weeks.". 4. "Twelve weeks.".
The nurse receives the following report on a patient who delivered 36 hours ago: para 1, rubella-immune, A-negative, antibody screen negative, newborn B-positive, Coombs' negative, discharge orders are written for both mother and newborn
What should be the priority action by the nurse? 1. Ask whether the mother is breast- or bottle-feeding. 2. Administer rubella vaccine. 3. Determine whether RhoGAM has been given. 4. Discuss the discharge education with the patient.