A client who has been taking an anxiolytic comes to the clinic with the following signs and symptoms: nausea and vomiting, headache, anxiety, irritability, muscle tremors, and insomnia. The nurse should consider that the client may be experiencing:
a. drug overdose. c. an idiosyncratic reaction to the drug.
b. sudden drug withdrawal. d. a hypersensitivity reaction to the drug.
ANS: B
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A Incorrect: These are manifestations of sudden drug withdrawal.
B Correct: These are manifestations of sudden drug withdrawal.
C Incorrect: These are manifestations of sudden drug withdrawal.
D Incorrect: These are manifestations of sudden drug withdrawal.
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A) give Mrs. Chen a chance to feel the cloths and towel that will be used. B) explain who she is and what she is going to do. C) clearly and loudly ask Mrs. Chen if she would like a wash. D) assess Mrs. Chen's orientation and cognition.
The nurse is working very hard to prevent medication errors. What plan(s) will assist the nurse in preventing most errors?
1. Plan to always check the patient's identification band prior to administration of medications. 2. Plan to open all of the medications immediately prior to administration. 3. Plan to tell physicians that verbal orders will not be accepted. 4. Plan to record the medication on the medication administration record (MAR) immediately prior to administration. 5. Plan to validate all orders with another nurse prior to administration of medications.
The nurse in the newborn nursery is admitting a neonate. In order to determine the health and development of the newborn, the nurse will assess: (Select all that apply.)
1. Head circumference. 2. Body length. 3. Weight. 4. Length of pregnancy. 5. Body fat determination.
Which part of the abdominal exam should be done first?
A) Auscultation B) Inspection C) Palpation D) Percussion