The nurse is caring for a client receiving codeine sulfate for pain. The nurse determines that the client is experiencing a side effect of the medication based on which of the following findings?
1. Distended jugular veins
2. Bounding peripheral pulses
3. No bowel movement in 3 days
4. Change in blood pressure from 120/60 to 140/80 mm Hg
3
Rationale: The client taking codeine sulfate is at risk for constipation. Thus, the nurse monitors the frequency of bowel movements. The nurse also would monitor the client for hypotension, decreased respirations, and urinary retention. The nurse would plan measures to counteract these expected effects, such as encouraging fluids, coughing and deep breathing, and increasing mobility to the extent tolerated by the client.
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The ___________ is the person conveying the message, whereas the ____________ is the individual or individuals to whom the message is conveyed
Fill in the blank(s) with correct word
To reduce the risk of aspiration, patients who are receiving enteral tube feedings should be positioned
a. sitting upright. b. lying on their side. c. with the head of the bed elevated 30 to 45 degrees. d. with the head of the bed elevated 45 to 60 degrees.
A nurse is caring for a 10-year-old child. The client is diagnosed with impetigo. Which endogenous organism should the nurse consider responsible for the client's condition?
A) Staphylococcus epidermidis B) Staphylococcus aureus C) Neisseria species D) Escherichia coli
Which principle(s) is/are correct for mixing insulin? (Select all that apply.)
a. Insulin orders and calculations must be checked with another nurse. b. Air is injected into the vial of the shorter-acting insulin first. c. The longer-acting insulin is drawn up first. d. The nurse must verify the compatibility of the insulin types. e. Withdraw the shorter-acting insulin first.