A patient who is prescribed prochlorperazine (Compazine) for postoperative nausea and vomiting has all of the following changes. For which change does the nurse immediately contact the prescriber?
a. Systolic blood pressure decrease of 12 mm Hg
b. Increased sleepiness but arouses with light shaking
c. Oral temperature increase of 2? F
d. Urine color change from yellow to reddish-brown
C
Prochlorperazine can trigger neuroleptic malignant syndrome, a rare and life-threatening side effect in which dangerously high body temperatures can occur. Without prompt and expert treatment, this condition can be fatal in as many as 20% of those who develop it. One of the first warning signs is increasing body temperature. At this point, steps must be taken quickly to pre-vent this adverse reaction from becoming worse.
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Health care providers are required to supply patients with written information regarding their rights to make medical decisions and implement advance directives, which consist of three documents. Which of the following are considered "advanced directives"
(Select all that apply.) a. Living will b. Durable power of attorney c. Health care proxy d. Patient's Bill of Rights e. The Uniform Anatomical Gift Act
The ER nurse is triaging a patient with suspected poisoning. Who should the nurse anticipate contacting first?
a. Family services b. Radiology c. Poison Control Center d. Respiratory
The nursing instructor is with a student nurse who is going to be changing an abdominal dressing. The first step is to provide the patient with information regarding the procedure
Which of the following is the best statement for completing this task? A) "The dressing change is often painful, and we will be giving you pain medication prior to the procedure so you do not have to worry." B) "During the dressing change, I will provide privacy at a time of your choosing, it should not be painful, and you can look at the incision and help with the procedure if you want to." C) "The dressing change should not be painful, but you can never be sure, and infection is always a concern." D) "The best time for doing a dressing change is during lunch so we are not interrupted. I will provide privacy, and it should not be painful."
The nurse is educating a couple who has had difficulty with conception. The client asks about which hormone is responsible for the production of eggs. Which hormone is the best response to the client by the nurse?
A) Luteinizing hormone (LH) B) Follicle-stimulating hormone (FSH) C) Interstitial cell-stimulating hormone (ICSH) D) Melanocyte-stimulating hormone