The nurse is monitoring a child who has received epidural analgesia with morphine. The nurse is careful to monitor for which adverse effect of the medication?
A) Epidural hematoma
B) Arachnoiditis
C) Spinal headache
D) Respiratory depression
Ans: D
The nurse needs to monitor for signs of respiratory depression, a potential adverse effect of the opioid medication. Epidural hematoma, arachnoiditis, and spinal headache are potential adverse effects of the insertion of the epidural catheter.
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Prior to the beginning of a surgical procedure, a nurse comes to see the client in the holding area and tells the client that he is the one who will make sure the client is safe during the procedure. This nurse was most likely the:
a. scrub nurse. b. RN first assistant. c. PACU nurse. d. circulating nurse.
A nurse is teaching a group of middle adults about health promotion. What statement by one of the participants indicates the need for additional teaching?
A) "I will make exercise a part of my daily activities." B) "I should eat a diet high in fats but low in fiber." C) "I will begin a smoking cessation program this week." D) "I only have one glass of wine a day with dinner."
What disorder of the anus or rectum is this likely to be?
A 55-year-old retired property manager comes to your clinic, concerned that she may have a tumor in her rectum. When asked why, she states that after straining at a bowel movement she felt a mass around her rectum. She denies any blood in her stool, black stools, or pain with defecation. She admits to having had chronic constipation for 30 years. She often uses laxatives to be able to have a bowel movement. She denies any recent weight gain, weight loss, fever, or night sweats. Her past medical history consists of hypothyroidism, and she has had two spontaneous vaginal deliveries. Her mother died recently of colon cancer and her father has high blood pressure but is otherwise healthy. She denies any smoking and only occasionally drinks alcohol. On examination she seems nervous. Her blood pressure is 140/90 and her pulse is 100. Her cardiac, lung, and abdominal examinations are normal. On visualization of her anus, no inflammation, masses, or fissures are noted. When she is asked to bear down, you see a rosette of red mucosa prolapsing from the anus. On digital rectal examination there are no masses and no blood is found on the glove. A) Prolapse of the rectum B) Internal hemorrhoids C) Anorectal cancer D) Prostate cancer
Which side effects are common to most urinary antiseptics?
a. Dyspnea and chest pain b. Nausea and vomiting c. Peripheral neuritis d. Visual disturbances