The client receiving Imitrex complains of dizziness. The nurse's highest priority intervention is to recognize that this is a(n) ________ and notify the physician
a. adverse reaction to the medication
b. food-drug interaction
c. side effect of the medication
d. life-threatening reaction to the drug
ANS: C
Dizziness is a side effect of treatment with Imitrex but is not life threatening.
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A nurse completes an occurrence report. Which is the best way for the nurse to document this occurrence?
a. "Patient found lying on right side on floor. No noted injuries, patient stated, ‘I slipped on a wet spot on the floor. I don't think I am injured.'" b. "Patient slipped on a wet spot on the floor. No noted injuries, physician notified." c. "Patient in too much of a hurry and was walking too fast and fell. Was not injured. Patient instructed to slow down and not be in such a hurry. Health care provider notified." d. "Patient fell while going outside to smoke. Patient denied any injuries. Health care provider notified. Patient counseled."
A homecare nurse has begun providing care for an older adult male in the community who has recently been diagnosed with type 2 diabetes
The nurse is responsible for creating a care plan for the client and has consequently identified a number of goals for his care. Which of the following goals of care is most in need of reexamination or modification? A) "The client will gain the knowledge and skills necessary to manage his diabetes independently and effectively within 3 months.". B) "The client will remain free of common complications of diabetes.". C) "The client will maintain a high quality of life despite his diabetes.". D) "The client will no longer require blood sugar monitoring or oral antihyperglycemic medications within 12 months.".
The nurse warns a client with insulin-dependent diabetes mellitus (IDDM) who has developed proteinuria that this finding is significant because
a. insulin requirements should be lowered. b. it indicates that the client's diabetes is uncontrolled. c. renal failure will most likely develop in 5 to 10 years. d. renal failure will result if diabetes is not well controlled.
Which of the following should the nurse do to assist an unstable infant with supraventricular tachycardia? (Select all that apply.)
1. Apply of ice to the face 2. Administer intravenous adenosine 3. Administer intravenous amiodarone 4. Prepare for cardioversion 5. Roll the baby onto the stomach