The nurse is administering thioridazine hydrochloride (Mellaril). The nurse will monitor the client carefully for which of the following?
1. Weight gain
2. Photosensitivity
3. Cardiac dysrhythmias
4. Extrapyramidal movements
3
Rationale: Thioridazine hydrochloride (Mellaril) is an antipsychotic medication that may be prescribed for the schizophrenic client when other medications failed to help the client. Cardiac dysrhythmias are an adverse effect of thioridazine. "Weight gain" and "extrapyramidal movements" are not associated with this medication. Photosensitivity is a rare side effect.
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The nurse is making client assignments for the next shift. Which client is most likely to experience a complicated labor pattern?
1. 34-year-old gravida 6 at 39 weeks' gestation with twins 2. 22-year-old gravida 1 at 23 weeks' gestation with ruptured membranes 3. 30-year-old gravida 3 at 41 weeks' gestation and estimated fetal weight 7 pounds, 8 ounces 4. 43-year-old gravida 2 at 37 weeks' gestation with hypertension
You notice that the reservoir bag on the partial rebreather mask of the client receiving oxygen therapy is only about two-thirds inflated during inhalation. What is your best action?
A. Notify the physician. B. Increase the oxygen flow rate. C. Document the finding. D. Assess the client's arterial blood gas values.
A nurse who uses a conceptual model as a framework begins to think differently about the nursing process
When using a conceptual model as a framework for clients, what is the major advantage of applying an individual model to the family and community as client model? A) The model is the road map; need buy in by the user to incorporate it effectively B) The model changes by virtue of the client and expands, creating more variables C) The model becomes multidimensional, which may be difficult to apply D) The model is familiar; needs are adapted for broader clients
The client is being discharged with nitroglycerin (Nitrostat). What should the nurse include in the client education?
1. "Your chest pain should go away with one tablet." 2. "If your chest pain doesn't go away after three tablets, call 911; you might be having a heart attack." 3. "If your chest pain doesn't go away with one tablet, you can repeat the dose as many times as you need to." 4. "Be sure to call 911 before you take any tablets."