A patient with chronic respiratory disease has an order for salmeterol (Serevent), two puffs every 12 hours. Review the following possible adverse effects, and select the one that could occur fol-lowing a dose of this drug
a. Pupil reaction
b. Heart rate changes
c. Deep tendon reflexes
d. Level of consciousness
ANS: B
Salmeterol xinafoate is a long-acting beta agonist commonly used in combination with an inhaled corticosteroid for long-term control of respiratory symptoms. Adverse effects include tachycardia and hypokalemia, and prolonged QT interval with overdose.
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Which of the following common adverse effects of selective serotonin reuptake inhibitors (SSRIs) would be stressed by the nurse during patient discharge?
1. Drowsiness and coma 2. Weight gain and sexual dysfunction 3. Headache and nausea 4. Dry mouth and urine retention
The type of epidemiologic study that is used to describe a group of persons enrolled in a study who share some characteristic of interest and who are followed over a period of time to observe some health outcome is a(n):
a. Case control study b. Cross-sectional study c. Cohort study d. Experimental study
Calculate the amount of 5% sodium chloride solution needed to prepare 400 mL of 0.9% sodium chloride solution, using water as the diluent: ________.
Fill in the blank(s) with the appropriate word(s).
A registered nurse (RN) is planning assignments for five clients on the nursing unit. The team includes a licensed practical nurse (LPN) and a nursing assistant. Which clients should the nurse assign to the LPN?
A. A client who is confused and requires assistance with a shower B. A client requiring a bed bath and frequent ambulation with a cane C. A client who must be accompanied to physical therapy twice during the shift D. A client with a colostomy who requires reinforcement regarding the procedure for irrigation E. A client with diabetes mellitus who requires the administration of regular insulin in accordance with a sliding dosage scale every 4 hours