Twenty minutes after a client has received a preoperative injection of atropine and midazolam (Versed), the client tells the nurse that he must be allergic to the medication because his mouth is dry and his heart seems to be beating faster than
normal. What is the nurse's priority action? a. Document the findings.
b. Assess the client's pulse and blood pres-sure.
c. Administer diphenhydramine (Benadryl).
d. Explain to the client that these symptoms are expected.
B
Although these are expected physiologic responses to the preoperative medication, whenever the client states that he or she can feel a change in normal cardiac function, he should be assessed.
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A client is in shock and the nurse prepares to administer insulin for a blood glucose reading of 208 mg/dL. The spouse asks why the client needs insulin as the client is not a diabetic. What response by the nurse is best?
a. "High glucose is common in shock and needs to be treated." b. "Some of the medications we are giving are to raise blood sugar." c. "The IV solution has lots of glucose, which raises blood sugar." d. "The stress of this illness has made your spouse a diabetic."
Which of the following research settings is not correctly paired with the type of setting?
a. Clinical research unit—highly controlled setting b. Indoor playroom—natural setting c. Primary care clinic—partially controlled setting d. Subject's home—partially controlled setting
The nurse encourages a group of extended care residents to sit out on the sunny patio for an hour each day. What vitamin level is the nurse trying to improve?
a. A b. B12 c. D d. K
A nurse wishes to teach alternative coping strategies to a patient who is experiencing severe anxiety. The nurse will first need to:
a. Lower the patient's current anxiety level. b. Verify the patient's learning style. c. Create outcomes and a teaching plan. d. Assess how the patient uses defense mechanisms.