After the administration of each dose of zoledronic acid (Zometa), it is most important for the nurse to determine which finding?
a. Capillary refill
b. Pain relief
c. Level of consciousness
d. Urine output
D
Zoledronic acid is a bisphosphonate that helps protect bones and prevent fractures. Urine output and serum creatinine should be monitored because this drug can be toxic to the kidneys. Zometa does not relieve pain or affect capillary refill or level of consciousness.
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The nurse documenting the presence of pain in a patient with possible gastric ulcer would anticipate that the pain would occur:
a. in the morning. b. erratically, without pattern. c. at bedtime. d. with meals.
The nurse is caring for an older client who presents with dizziness and difficulty hearing. Which of the nurse's assessment findings will require collaboration with the client's primary health care provider? (Select all that apply.)
a. Tympanic membrane is retracted, with multiple air bubbles. b. The client reports inability to hear high-frequency voices and sounds. c. Clear watery drainage is present in the ear canal and is positive for glucose. d. Tympanic membrane is shiny and trans-lucent, with light reflex noted. e. Hearing test indicates positive Rinne test, with AC > BC noted bilaterally. f. The client reports dizziness after taking naproxen (Aleve) for arthritis pain.
Complete the sentence. In a therapeutic environment, norms are
a. opportunities for self-expression that relieve stress. b. expectations for socially acceptable behavior. c. the behaviors most people display daily. d. shared experiences among patients.
When assessing the respiratory system of an older patient, which finding indicates that the nurse should take immediate action?
a. Weak cough effort b. Barrel-shaped chest c. Dry mucous membranes d. Bilateral crackles at lung bases