A patient is receiving hydroxyzine (Vistaril) for complaints of nausea and vomiting. Consider the following adverse effects of the drug, and select the one that is most significant
a. Excessive salivation
b. Increased pulse
c. Decreased respiratory rate
d. Sedation
ANS: D
Hydroxyzine is an antihistamine that is also an anticholinergic because it blocks the action of ac-etylcholine in the brain. As such, it causes sedation as the most significant adverse effect.
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A hospital is receiving large numbers of casualties from a disaster. Which clients does the supervisor identify as appropriate for discharge or transfer to another facility? (Select all that ap-ply.)
a. Client who had open reduction and inter-nal fixation of a femur fracture 3 days ago b. Client who had a colostomy 4 days ago and whose daughter is a registered nurse c. Client admitted last night with communi-ty-acquired pneumonia d. Infant admitted 2 days ago for fever of unknown origin e. Client in the medical decision unit for evaluation of chest pain
The nurse needs to take the blood pressure of a small child. Of the cuffs available, one is too large and one is too small. The best nursing action is which?
a. Use the small cuff. b. Use the large cuff. c. Use either cuff using the palpation method. d. Wait to take the blood pressure until a proper cuff can be located.
The nurse uses palpation of the chest in order to assess the client for:
A) retractions and bulging. B) use of accessory muscles. C) tactile fremitus. D) pleural rub.
The nurse is caring for a patient who will have surgery that morning. The patient usually takes an antihypertensive medication every morning. The patient has been NPO since midnight. What action will the nurse perform?
a. Ask the patient to swallow the pill without water. b. Give the medication with a small sip of water. c. Consult the provider and surgeon about giving the medication. d. Hold the medication until after the patient's surgery.