The nurse notes that a client's pupils are fixed and dilated. Which should the nurse suspect has occurred?
A. Damage to the pons.
B. Glaucoma.
C. Syphilis.
D. Monocular blindness.
Answer: B
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A nurse has been pulled from the medical-surgical unit to the ICU unit. An ICU nurse informs the nurse that a client requires intravenous (IV) cardiac medication, which requires monitoring of potential cardiac arrhythmias
The medical-surgical nurse administers the medication and monitors the cardiac rhythm. The ICU nurse later asks the nurse what cardiac rhythm the client exhibited during administration of the medication. The nurse states, ?I don?t know.? What actions should the manager take to address this situation? 1. Meet with the ICU nurse to discuss the matter. 2. Meet with the medical-surgical nurse to determine if the nurse is aware of ICU policies. 3. Give a written warning to the ICU nurse since it was her responsibility to administer this type of medication. 4. Report the incident to nursing administration.
The nurse is teaching a newly diagnosed diabetic about his insulin regimen. When administering Humalog insulin the nurse should teach the patient what?
A) Have the patient's meal tray available. B) Have the patient begin the meal tray 30 minutes following the injection. C) Feed the patient prior to administering the dose of insulin. D) Watch for symptoms of hyperglycemia.
The nurse instructs the mother that when overstimulated the infant will
a. look away to reduce the intensity of the interaction b. show increased alertness and eye contact c. respond with coordinated, synchronous body movement d. drift off to deep sleep to shut out the interaction
Which of the following medications is NOT used as a? first-line drug to counter the physiologic effects of the release of? slow-reacting substance of anaphylaxis? (SRS-A)?
a. Diphenhydramine b. Epinephrine 1:10,000 c. Albuterol d. Dopamine