Which assessment finding is cause for concern in a client who has taken 4 grams of acetamino-phen (Tylenol) to relieve back pain?

a. Difficulty with urination
b. Decreased respiratory rate
c. Gastrointestinal bleeding
d. Increased liver function tests


D
Tylenol has few anti-inflammatory properties. Therefore, it will not cause bleeding. Unlike nerve blocks and opioid drugs, it does not affect the respiratory rate or cause difficulty with urination. It can cause liver toxicity, especially in higher doses and taken more frequently than every 4 hours for long-term use.

Nursing

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The implementation of saline flushes for capped angiocatheters is an example of:

a. How multilevel and interprofessional ap-plication of a procedure can slow adoption of EBP. b. How competition among disciplines can lead to negative patient outcomes. c. The reluctance of hospital administrators to act on recommendations from EBP. d. How a safe, well-known practice out-weighs the benefits of adopting a newer practice.

Nursing

A thorough understanding of how information is currently collected and processed is the starting point in performing a needs assessment. This is also known as which of the following?

1. Assessing internal environment 2. Assessing external environment 3. Planning for the change process 4. Implementing the new system

Nursing

A student nurse asks an instructor, "Since most of the patients on the unit are female, does that mean that women experience more mental illness than men?" The instructor replies:

a. "That's a very astute observation. You're right.". b. "The prevalence is relatively the same for men and women.". c. "As a matter of fact, mental illness is more prevalent among men.". d. "I'm sure that you will be able to find that information in your textbook.".

Nursing

Why is PEP initiated only if exposure was severe, and the source of fluid is known or strongly suspected to contain HIV?

1. The cost and anxiety associated with taking the drugs are high. 2. There is not enough research supporting this treatment. 3. The cost of the drugs is high, and there are many ethical issues surrounding their use. 4. The cost of the drugs is high, and there are many adverse effects.

Nursing