Identify the assessment found by a nurse on a client who is admitted with a possible accidental overdose of imipramine (Tofranil) that would require the most immediate intervention
a. Depressed deep tendon reflexes and Glasgow Coma Scale of 11
b. Sinus tachycardia of 128 with a QRS complex of 0.14 second
c. Ecchymotic areas on arms and an HCT of 33%
d. Distended abdomen and decreased bowel sounds
B
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An African American patient is suspicious, has angry outbursts, and accuses staff of discriminating when they remove possibly harmful objects. Which factor best demonstrates cultural awareness regard this patient's behavior?
a. The patient may have feelings of powerlessness. b. Family solidarity is this patient's priority need. c. Institutional policies promote discrimination. d. The patient fears abandonment.
After suctioning the client's endotracheal tube, which item is not required in the documentation of this procedure?
1. Amount, color, and consistency of secretions 2. Client's response to suctioning 3. Number of catheter passes required to clear the airway 4. Breath sounds following suctioning
The best indicator of fluid status in the elderly is____
A. Patient thirst B. Patient weight C. BUN/creatinine ratio D. Serum creatinine
The nurse is caring for a patient who has chronic lymphocytic leukemia and is receiving fludarabine (Fludara). What laboratory tests would the nurse review prior to administration of this medication?
a. Complete blood cell count b. Serum protein levels c. Renal function studies d. Liver function studies