A client with asthma is taking being started on tiotropium (Spiriva) to help dilate the bronchi. The nurse should monitor the client for:
1. jaundice.
2. glaucoma.
3. fever.
4. cardiac disease.
Answer: 2
1. Spiriva does not affect the liver.
2. Spiriva is contraindicated in clients experiencing glaucoma, enlarged prostate and urinary retention.
3. Fever is not a contraindication for Spiriva.
4. Spiriva is not contraindicated in clients with cardiac disease.
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For many years, an older female patient has taken 1 mg of the benzodiazepine lorazepam at bedtime and with episodes of anxiety. What should the nurse respond to learning of this information?
A) "Have you been diagnosed with generalized anxiety disorder?" B) "Have you considered other methods beyond medication to help you sleep and relieve your anxiety?" C) "This drug can lead to problems with coordination that mimic Parkinson disease, so it's best to minimize its use.". D) "Drugs like this have been shown to be inappropriate and ineffective; it would be useful for you to discuss this fact with your doctor.".
An emergency department (ED) nurse gives report on a client who is being transferred to the medical-surgical floor. Because of an identified risk for suicide, the ED nurse suggests that the floor nurse contact a sitter and behavioral health
This statement represents which part of the SBAR hand-off? a. Situation b. Background c. Assessment d. Recommendation
The nurse has identified a priority problem on her unit. Which of the following statements is true regarding addressing a priority problem?
A) Setting priorities involves skipping interventions. B) Priorities are set at predetermined intervals throughout the shift. C) A priority problem requires a nursing intervention before another problem is addressed. D) Priority of problems is established and continued according to the nursing plan of care. E) The physician is responsible for determining priority of patient needs.
Which of the following patients would be a possible candidate for subacute care?
A. An older person who has had a total hip replacement B. A middle-aged adult who has had the gallbladder removed C. A teen who has had an appendectomy D. A child who has had a cast applied to a fractured arm