The physician has prescribed epinephrine (Adrenalin) for an older adult patient. What is an important nursing assessment prior to administration of this drug?

1. A history of type 1 diabetes mellitus
2. A history of narrow angle glaucoma
3. A history of dizziness
4. A history of human immunodeficiency virus (HIV) infection


2
Rationale 1: Type 1 diabetes mellitus is not adversely affected by administration of a vasoconstrictor drug.
Rationale 2: Vasoconstrictors may increase intraocular pressure, so the nurse should assess for narrow angle glaucoma.
Rationale 3: Dizziness is a general symptom and not specific to this drug.
Rationale 4: Human immunodeficiency virus (HIV) infection is not adversely affected by administration of a vasoconstrictor drug.
Global Rationale: Vasoconstrictors may increase intraocular pressure, so the nurse should assess for narrow angle glaucoma. Dizziness is a general symptom and not specific to this drug. Type 1 diabetes mellitus is not adversely affected by administration of a vasoconstrictor drug. Human immunodeficiency virus (HIV) infection is not adversely affected by administration of a vasoconstrictor drug.

Nursing

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The nurse is assisting with a skin test for a client suspected of having allergies to animals. Which of the following is a sign of a positive reaction?

A) Bruising B) Red wheal C) Flat macule D) Bleeding

Nursing

MC A local hospital has established outreach clinics in the community to provide health care. Several staff members within the clinic component refuse to go to some of the outreach clinics claiming that the clinics are in a bad section

of the community and the residents there are not interested in health promotion. These staff members are displaying: A. Cultural pre-competence. B. Cultural blindness. C. Cultural incapacity. D. Cultural destructiveness.

Nursing

A type of infection that is associated with the delivery of healthcare services in a facility such as a hospital or nursing home is called a(n)

A. Latent infection
B. Etiologic infection
C. Hospital-associated infection
D. Healthcare-associated infection

Nursing

How can the sources of ADH be described using the terms exogenous and endogenous?

A. Endogenous vasopressin is produced in the hypothalamus and stored until it is needed, while the exogenous form is synthetically produced. B. The endogenous ADH is called ADH, while the exogenous form is synthetically produced and sold by the name vasopressin. C. Exogenous ADH is produced in the hypothalamus and stored until it is needed, while the endogenous form is synthetically produced and sold by the name vasopressin. D. None of these are correct.

Nursing