A nurse is monitoring a patient for side effects associated with opioid analgesics. Which side effects should the nurse expect to monitor for? (Select all that apply.)
a. Diarrhea
b. Respiratory depression
c. Hypertension
d. Pruritus
e. Sweating
ANS: B, D, E
Side effects of opioids include respiratory depression, pruritus, and sweating. Constipation may occur, not diarrhea, and orthostatic hypotension may occur but not hypertension.
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Before the patient undergoes computed tomographic (CT) scanning with a contrast medium, the nurse should
a. verify that the patient is not allergic to seafood or iodine. b. explain that the patient will have to change position frequently during the procedure. c. maintain a safe distance from the patient to reduce the exposure to radiation. d. verify that the patient has no metal objects such as an implant or a pacemaker.
What should a nurse include in a patient's plan of care when considering interventions for the outcome of prevention of contractures in a patient with an SCI?
a. Apply cold wraps to the limbs twice a day. b. Perform full ROM exercises every 2 hours. c. Use significant tactile stimuli each shift. d. Apply splints to the limbs.
Critical thinking in nursing needs to include which of the following important variables?
a. Consideration of ethics and responsible decision making b. Ability to act quickly, often on impulse c. Ability to determine the best nursing interventions regardless of patient's values and beliefs d. Flexible thinking that rarely follows a pattern or considers standards
A nursing student is presenting a discussion of the history of psychiatric–mental health nursing and its place within nursing history. Which of the following would be most appropriate to include?
A) Certification for the psychiatric–mental health nursing specialty was first emphasized by Mary Adelaide Nutting. B) Psychiatric nurses played a part in seeing that all deinstitutionalized patients got treatment at community mental health centers. C) There is a historical link between the first nursing program to admit male students and the first training school for psychiatric nursing. D) The first graduate program in psychiatric nurses was established in response to the publication of psychiatric nursing specialty journals.