Which of the following adverse effects may occur in a surgical patient receiving dexamethasone (Decadron) on an ongoing basis?
a. Hyponatremia and hyperkalemia
b. Hypotension and weight loss
c. Increased muscle mass and somnolence
d. Impaired wound healing and infection
ANS: D
Glucocorticoids act to interrupt inflammatory and immune responses.
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A nurse plans care for a client who is bedridden. Which assessment should the nurse complete to ensure to prevent pressure ulcer formation?
a. Nutritional intake and serum albumin levels b. Pressure ulcer diameter and depth c. Wound drainage, including color, odor, and consistency d. Dressing site and antibiotic ointment application
As a safety precaution against breakage of dentures, the nurse should place __________ in the emesis basin before cleaning the dentures
Fill in the blank(s) with correct word
The nurse realizes that the healing modalities developed by nurses are:
a. therapeutic touch and healing touch. b. reflexology and shiatsu. c. aromatherapy and hypnosis. d. imagery and pet therapy.
A trauma client with multiple open wounds is brought to the emergency department in cardiac arrest. What should the nurse do before providing advanced cardiac life support?
a. Contact the on-call orthopedic surgeon. b. Don personal protective equipment. c. Notify the Rapid Response Team. d. Obtain a complete history from the para-medic.