A client is brought to the emergency department suspected of overdosing on imipramine (Tofranil). Which is the nurse's priority assessment?
A. Cardiac function
B. Liver function
C. Renal function
D. Neurological function
Answer: A
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A nurse is teaching a class of nursing students about the anterior and posterior fontanels. What information should the nurse include? (Select all that apply.)
A. Anterior fontanels are usually larger than the posterior fontanels. B. Bulging, tense fontanels can indicate increased intracranial pressure. C. Fontanel presence allows for cranial molding during the birthing process. D. Normal measurements for the anterior fontanel range from 0.4-2.8 in (1-7 cm). E. The posterior fontanel needs to remain open for the baby's first year of life.
Which clinical consideration should the nurse implement for the client in labor who has been diagnosed with preeclampsia?
A) Place the client in the room closest to the nurse's station, even if it is a shared room. B) Place the client in left lateral position when the client feels the urge to push. C) Monitor client's fetus intermittently while client is in first stage of labor. D) Encourage the client to be alone in the room without family in order to maintain a quiet environment.
Which aspect of our tradition and history in nursing may impede our movement towards future-oriented thinking?
a. Lack of confidence b. Focus on the discipline of nursing c. Focus on details in the everyday practice d. Mistrust of trends and new evidence
Acute salicylate (ASA, aspirin) poisoning results in:
a. chemical pneumonitis. b. hepatic damage. c. retractions and grunting. d. disorientation and loss of consciousness.