A client in labor received a dose of meperidine (Demerol) for pain control. Which assessment findings should the nurse suspect are adverse effects of this medication? Select all that apply
1. Nausea
2. Pruritus
3. Sedation
4. Bradycardia
5. Hypotension
1, 2, 3
Explanation
1. Nausea is an adverse effect of meperidine.
2. Pruritus is an adverse effect of meperidine.
3. Sedation is an adverse effect of meperidine.
4. Bradycardia is an adverse effect of fentanyl.
5. Hypotension is an adverse effect of nalbuphine hydrochloride and fentanyl.
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A nurse uses a key informant interview as part of completing a needs assessment. Which of the following describes the primary advantage of using this tool?
a. Low cost b. Provides a picture of services needed c. Identifies the perspectives of a large number of persons d. Indicates the extent of services offered by existing programs
A nurse is caring for a client recently prescribed an oral antibiotic who is exhibiting signs of dermatologic toxicity. Which assessment findings support dermatologic toxicity?
1. Rash 2. Itching 3. Urticaria 4. Sunburn 5. Photosensitivity
A pregnant woman was admitted for induction of labor at 43 weeks of gestation with sure dates
A nonstress test (NST) in the obstetrician's office revealed a nonreactive tracing. On artificial rupture of membranes, thick, meconium-stained fluid was noted. The nurse caring for the infant after birth should anticipate: a. Meconium aspiration, hypoglycemia, and dry, cracked skin. b. Excessive vernix caseosa covering the skin, lethargy, and respiratory distress syndrome. c. Golden yellow- to green stained–skin and nails, absence of scalp hair, and an increased amount of subcutaneous fat. d. Hyperglycemia, hyperthermia, and an alert, wide-eyed appearance.