What precaution is most important to teach a client with allergic rhinitis who also has glaucoma?
A. "If your heart beat increases, be sure to contact your health care provider."
B. "Read the labels of over-the-counter allergy drugs and avoid those containing pseudoephedrine or phenylephrine."
C. "Be sure to drink plenty of water whenever you take an over-the-counter antihis-tamine or decongestant."
D. "Your eyes may become very dry when taking any allergy medication or decon-gestant and you should use an eye-moistening agent."
B
Many over-the-counter allergy medications have actions similar to those of adrenergic drugs and work by causing vasoconstriction in the inflamed tissue, thereby reducing the edema. They often contain ephedrine, phenylephrine, or pseudoephedrine. Secretions are reduced when vasocon-stricting drugs are combined with an anticholinergic drug, such as scopolamine or atropine. Such agents cause systemic side effects and can greatly increase blood pressure, intraocular pressure, and urinary retention.
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A patient in diabetic ketoacidosis has the following arterial blood gasses: pH 7.25; pCO2 30 mm Hg; HCO3- 16 . The patient has rapid, regular respirations. The nurse's best response would be to
a. ask the patient to breathe into a paper bag to retain CO2. b. administer sodium bicarbonate. c. administer insulin and fluids intravenously. d. prepare for intubation.
The nurse's brief review of a patient's electronic health record indicates that the patient regularly undergoes therapeutic phlebotomy. Which of the following rationales for this procedure is most plausible?
A) The patient may chronically produce excess red blood cells. B) The patient may frequently experience a low relative plasma volume. C) The patient may have impaired stem cell function. D) The patient may previously have undergone bone marrow biopsy.
The nurse, considering home care nursing, realizes that Lillian Wald is noted as being:
a. the first nurse to graduate from a school of nursing in the United States. b. Superintendent of Nurses during the Civil War. c. the first community health nurse. d. the founder of the American Nurses Association.
On the second and third postpartum days, a client has two temperature elevations of 100.6°F and 101.2°F. The physician orders Metronidazole and ampicillin IV
Which assessment item should the nurse discuss with the physician before instituting orders? a. IV of D5RL infusing at 125 mL hr b. Lochia serosa, changes pad q4hrs c. Fundus firm, u-2, deviated slightly to the left d. Breastfeeding infants on demand