A patient who has been prescribed verapamil (Calan) develops skin lesions, itching, achy joints, and a temperature of 101o F. What is your best action?
a. Administer an as-needed dose of diphenhydramine (Benadryl).
b. Contact the prescriber and request an order for acetaminophen 650 mg.
c. Draw a set of blood cultures to detect any infection.
d. Hold the drug and notify the prescriber.
ANS: D
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Parents of a 2-month-old infant with Down syndrome are attending a well visit at the pediatric clinic. What should they be instructed to provide special attention to in regard to the generalized hypotonicity of the child?
a. Preventing hyperthermia b. Respiratory care c. Prevention of diarrhea d. Incontinence care
During an admission assessment, the client tells the nurse that they have been taking herbs to help lower the blood pressure. Which question should the nurse ask the client?
A. "Have you shared this with your healthcare provider?" B. "Where you aware that herbal preparations may interfere with your treatment?" C. "What herbs have been used to manage your condition?" D. "When was the last dosage of the herbal remedies taken?"
The nurse is assessing a pt with glomerulonephritis and notes crackles in the lung fields and neck vein distention. the pt reports mild SOB. based on these findings, what does the nurse do next?
a. check for CVA tenderness or flank pain b. obtain a urine sample to check for proteinuria c. assess for additional signs of fluids overload d. alert the HCP about the respiratory symptoms
The nurse is caring for a patient with amyotrophic lateral sclerosis (ALS). What should the nurse identify as being the primary focus of care for this patient?
A. Pain management and active range-of-motion (ROM) exercises B. Providing gastrostomy feedings as soon as possible so as to build up muscle mass when motor functions return C. Giving immunosuppressants D. Respiratory support as the muscles of breathing fail, and managing secretions due to the inability to swallow and communication