A patient has been diagnosed with chronic obstructive pulmonary disease. The patient is to be administered tiotropium bromide (Spiriva HandiHaler). The patient's creatinine level is 25 . What is the patient at risk for developing?
A) Drug toxicity
B) Pneumonia
C) Hepatotoxicity
D) Central nervous system depression
A
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The nurse caring for a client with a fractured third cervical vertebrae determines the client is in spinal shock. Which bed position is the most appropriate for this client?
1. Flat 2. Semi-Fowler's 3. Trendelenburg 4. Reverse Trendelenburg
The nurse is providing care for a patient who is receiving a blood transfusion. Pre-transfusion vital signs were blood pressure (BP), 144/78 mm Hg; temperature (T), 98.4°F; pulse (P), 86; respirations (R), 14
Now, approximately an hour after the transfusion was initiated, the patient's vital signs are BP, 168/92 mm Hg; P, 98; R, 20. Next, the nurse should 1. Record the vital signs. 2. Listen to the patient's breath sounds. 3. Notify the physician. 4. Slow the transfusion rate.
The developmental perspective of authentic leadership emphasizes balanced processing and relational transparency
a. True b. False
Which children admitted to the pediatric unit would the nurse monitor closely for development of syndrome of inappropriate antidiuretic hormone (SIADH) (Select all that apply)?
a. A newly diagnosed preschooler with type 1 diabetes b. A school-age child returning from surgery for removal of a brain tumor c. An infant with suspected meningitis d. An adolescent with blunt abdominal trauma following a car accident e. A school-age child with head trauma