The nurse withholds a scheduled dose of secobarbital (Seconal) to a client and notifies the health care provider when what was assessed?
Standard Text: Select all that apply.
1. Respiratory rate of 8 breaths per minute
2. Heart rate of 58 beats per minute
3. Blood pressure 124/88 mmHg
4. Temperature 99.8ºF
5. Pain level 5 on numeric pain scale
Correct Answer: 1,2
Rationale 1: Respiratory depression is a serious adverse effect of this medication.
Rationale 2: Bradycardia is a serious adverse effect of this medication.
Rationale 3: This blood pressure is within normal parameters.
Rationale 4: Temperature elevation is not an adverse effect of this medication.
Rationale 5: Pain is not an adverse effect of this medication.
Global Rationale: Respiratory depression and bradycardia are serious adverse effects of this medication. A blood pressure 124/88 mmHg is within normal limits. Temperature elevation and pain are not adverse effects of this medication.
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hospital-based psychiatric nurse for planning client interventions is a. history of mental illness in the family. b. culturally related psychotropic dosing. c. financial status of the client. d. physical state of the client.
Which statement best defines concepts to be included in a teaching plan for a patient with cancer?
a. Cancer is a group of diseases. The cancer cells are different from the cells in the tissue of its origin in both the growth and spreading of abnormal cells. b. Cancer is the third leading cause of death in the United States. Many hospitals have the highest number of patients with this diagnosis. c. Americans who have a diagnosis of cancer die within 1 year or less. d. When a person is genetically predisposed to a type of cancer, nothing can be done to prevent its occurrence.
Which of the following urine characteristics would the nurse anticipate when caring for a client whose lab work reveals a high urine specific gravity related to dehydration?
A) Dark amber urine B) Clear or light yellow urine C) Red urine D) Turbid urine
A nurse enters a client's room and asks about his level of pain. The client, grimacing, says "It's fine." Which communication factor is the client struggling with?
1. Territoriality 2. Environment 3. Congruence 4. Attitude