A client, 10 weeks pregnant, complains of severe nausea of pregnancy. Meclizine (Bonine) is prescribed. The client reports to the nurse that she has begun to experience dizziness. What is the highest priority nursing intervention?
a. Contact the pharmacist; this indicates an overdosage of the medication.
b. Contact the physician; this is an expected side effect of the medication.
c. Contact the pharmacist; this indicates incorrect preparation of the medication.
d. Contact the physician; this is an adverse reaction to the medication.
ANS: B
Dizziness has been found to be an expected side effect of the medication.
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Mrs. Jones refuses to get a flu vaccination when the pharmacist offers to give her one. She states she always gets the flu the day after getting the vaccine. Why can you not get the flu from the general annual flu vaccine?
a. An antiviral in the flu vaccine prevents from getting the flu from the vaccine. b. Your immune system protects you immediately after getting the shot. c. One of the many adverse reactions to the flu shot is getting the flu. d. Most flu vaccines are made with inactivated (killed) virus, so you cannot get the flu from the vaccine.
The nurse is caring for a client who is receiving radiation therapy for treatment of oral cancer. The client reports a constant dry mouth. Which is the nurse's best response?
a. "Massage the area just over the lower jaw twice a day." b. "Use lemon and glycerin swabs to clean your mouth and help keep it moist." c. "Suck on lemon slices to help increase saliva production." d. "Rinse your mouth out often with warm saline or sodium bicarbonate solution."
The nurse instructs a patient with chronic obstructive pulmonary disease (COPD) on the huff cough technique. Which observations indicate that teaching has been effective?
Select all that apply. 1. The patient coughs twice. 2. The patient leans forward. 3. The patient makes a huff sound when exhaling. 4. The patient inhales through the nose with the mouth closed. 5. The patient places one hand on the abdomen and the other on the chest.
The nurse is performing wellness checks at a community center for older adults. Which person would the nurse evaluate as having the highest risk of stroke?
a. White, 55 years of age, BP 148/92 mm Hg b. African-American, 70 years of age, BP 150/100 mm Hg c. Asian-American, 40 years of age, BP 146/78 mm Hg d. White, 74 years of age, BP 150/82 mm Hg