A patient is administered edrophonium (Tensilon) to confirm the diagnosis of myasthenia gravis. What effect will the edrophonium (Tensilon) have 30 minutes after the medication administration, which will confirm the diagnosis?
A) Increased muscle strength
B) Decreased adventitious breath sounds
C) Decreased muscle spasms
D) Increased urinary output
A
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A client enters the emergency department in status epilepticus. The nurse anticipates the administration of:
a. phenobarbital (Luminal). b. phenytoin (Dilantin). c. valproic acid (Depakene). d. diazepam (Valium).
The electrical activity of the client's heart is being continuously monitored while the client is on the coronary care unit. Suddenly the nurse finds that the client is experiencing ventricular fibrilla-tion. The nurse will prepare to:
1. Administer atropine 2. Prepare for cardiopulmonary resuscitation (CPR) 3. Prepare the client for surgical placement of a pacemaker 4. Instruct the client to perform the Valsalva maneuver
Which information should the nurse include in the teaching for a client that will be receiving intermittent enteral nutrition at home? Select all that apply.
A. "Clean the equipment between each feeding administration." B. "Once mixed, the enteral feeding should hang no more than 8 hours." C. "Refrigerate any feeding that is not needed for a feeding." D. "You may use plain tap water for scheduled tubing flushes." E. "Keep the area around the insertion site clean."
A nurse has determined that a newborn's respiratory breathing is within a normal range. How should the nurse document this finding?
a. Irregular, abdominal, 30 to 60 breaths/min b. Regular, abdominal, 25 to 35 breaths/min c. Regular, noisy, 35 to 45 breaths/min d. Irregular, quiet, 45 to 55 breaths/min