A client with a history of heavy alcohol use is brought to an emergency department (ED) by family members who state that the client has had nothing to drink in the last 24 hours
Which client symptom should the nurse immediately report to the ED physician? A. Antecubital bruising
B. Blood pressure of 180/100 mm Hg
C. Mood rating of 2/10 on numeric scale
D. Dehydration
B
The nurse should recognize that high blood pressure is a symptom of alcohol withdrawal and should promptly report this finding to the physician. Complications associated with alcohol withdrawal may progress to alcohol withdrawal delirium and possible seizure activity on about the second or third day following cessation of prolonged alcohol consumption.
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A child is taking Ritalin (methylphenidate hydrochloride) for attention deficit hyperactivity dis-order (ADHD). The parents should be instructed to administer the medication:
1. At bedtime. 2. After lunch. 3. With the evening meal. 4. Early in the morning.
Which finding will the nurse expect when assessing a 58-year-old patient who has osteoarthritis (OA) of the knee?
a. Discomfort with joint movement b. Heberden's and Bouchard's nodes c. Redness and swelling of the knee joint d. Stiffness that increases with movement
What is a potential serious problem when living wills are formulated long before they are to be used?
a. Questions may arise about how informed the client is about current treatment mod-alities. b. Witnesses to the document may have died, thereby rendering it invalid. c. The attending physician may not be will-ing to recognize a living will that is more than 5 years old. d. The client's family may forget that the living will was made and refuse to honor it.
Diego has been diagnosed with Hodgkin's lymphoma. He is administered a drug that is derived from a plant during his first session of chemotherapy. After the session, he notices a tingling sensation in his fingers. He also observes that his physical responses have slowed due to deteriorated reflexes. Which of the following drugs has been used to treat Diego?
A. Vincristine B. Etoposide C. Topotecan D. Vinorelbine