The nurse administers meperidine (Demerol) to a woman who is in early labor. Immediately after the drug is given, the woman's labor progresses quickly, and she delivers her infant. The nurse will monitor the infant closely for which condition?
a. Opioid withdrawal syndrome
b. Orthostatic hypotension
c. Respiratory depression
d. Tachycardia and poor perfusion
ANS: C
Narcotic analgesics cause respiratory depression in the infant if given shortly before delivery. The nurse should monitor the infant closely and prepare to give naloxone (Narcan) if this occurs. Opioid withdrawal occurs with prolonged exposure to opioids. Orthostatic hypotension and tachycardia are not common effects.
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If the patient's heart rate is 80 beats/min, blood pressure is 140/80 mm Hg, and stroke volume is 100 mL/beat, then cardiac output is
A) 2 L/min. B) 4 L/min. C) 6 L/min. D) 8 L/min.
An indication of high self-esteem would be when a client:
a. exhibits frequent and direct eye contact. b. communicates in a passive or aggressive manner. c. exhibits an external locus of control. d. is overly dependent on others.
Confusion, disorientation, and a decreased level of consciousness may occur in severely burned clients and is related to which of these factors?
a. anxiety c. fluid and electrolyte imbalances b. depression d. severe pain
Which of the following statements made by ancillary staff reflects the most informed knowledge regarding the benefit of having a client assist with his or her own activities of daily living (ADLs) to that client's activity tolerance?
1. "The more he does for himself, the more he will be able to do for himself." 2. "He doesn't like washing and dressing himself, but it makes him stronger." 3. "Doing for himself makes him tired, but in the long run he has more energy and strength when he does." 4. "By washing and dressing himself he is building muscle strength that lets him ac-tually walk a little better."