The nurse is caring for a patient who is being medicated with promethazine (Phenergan) to reduce nausea associated with cholecystitis. The patient should be cautioned to report which of the following side effects?
a. Dry mouth
b. Insomnia
c. Diarrhea
d. Urine retention
ANS: D
Urine retention can be life threatening and should be reported immediately. Dry mouth and insomnia are not emergencies. Constipation, not diarrhea, is more likely to occur.
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The nurse is providing initial screening to determine gross hearing acuity as part of a complete physical. Which of the following tests would the nurse include in the assessment?
a. Romberg b. Whisper voice c. Otoscopic examination d. Calorie test
While visiting an Asian-American family in their home, the community health nurse inspects the skin of the 3-year-old child and notices a bruise-like lesion on the child's abdomen
The mother states that the child has been experiencing diarrhea for 2 days. Which of the following would the nurse do next? A) Report the family to the local child abuse agency B) Recognize this as a normal skin variation C) Question the family about the use of cupping D) Obtain a blood test for clotting function
Identify which of the following questions a nurse could use to obtain assessment information. (Select all that apply.)
a. "How can we help you today?" b. "Can you tell me why you take each medication?" c. "Are you in pain?" d. "Are these people your main support system?" e. "How well do you understand the directions?"
The nurse preparing a teaching plan for a 20-year-old woman who is taking sulfasalazine (Azulfidine) for Crohn's disease will include that this drug will: (Select all that apply.)
a. make the patient photosensitive. b. interfere with effectiveness of oral con-traceptives. c. decrease the effect of hypoglycemic agents. d. turn the urine orange. e. cause GI upset.