A patient taking entacapone (Comtan) for the
first time calls the clinic to report a dark discoloration of his urine. After listening to the patient, the nurse realizes that what is happening in this situation?
a. This is a harmless effect of the drug.
b. The patient has taken this drug along with red wine or cheese.
c. The patient is having an allergic reaction to the drug.
d. The ordered dose is too high for this patient.
ANS: A
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When caring for the preschooler, it is important for the nurse to remember that:
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Which of the following nursing leaders, because of her work in the Henry Street Settlement, is considered the founder of public health nursing?
a. Margaret Sanger b. Clara Barton c. Lillian Wald d. Lavinia Lloyd Dock
The nurse is caring for a client with a furuncle on the pinna at the opening of the ear canal. The nurse is reviewing home care instructions with the client. Which statement by the client indicates that additional teaching is needed?
a. "I will put the bacitracin ointment on the sore three times a day." b. "I will gently squeeze the sore to drain the liquid out once a day." c. "I will take Tylenol (acetaminophen) if my ear starts to hurt a lot." d. "I will put a warm compress on the sore for 15 minutes three times a day."
The nurse is notified by the cardiac monitoring technician that a patient on continuous cardiac monitoring is having frequent alarms. When the nurse enters the patient's room, the patient is in no apparent distress, is sitting in the chair and eating
Which are appropriate nursing interventions? Select all that apply. 1. Confirm that lead wires are properly connected. 2. Assess placement of electrodes. 3. Remove and reapply new electrodes if nonadherent. 4. Assess skin sites and move an electrode if the skin appears irritated. 5. Call for assistance.