A child is receiving a combination albuterol/ipratropium [DuoNeb] inhalation treatment. The patient complains of a dry mouth and sore throat. What will the nurse do?
a. Contact the provider to report systemic anticholinergic side effects.
b. Discontinue the aerosol treatment imme-diately.
c. Notify the provider of a possible allergic reaction.
d. Reassure the patient that these are ex-pected side effects.
D
The most common adverse effects of this combination drug are dry mouth and irritation of the pharynx. The patient should be reassured that these are common and minor effects. Systemic an-ticholinergic side effects are rare. It is not necessary to discontinue the medication. Patients with peanut allergy may have severe anaphylactic reactions, but the patient's symptoms are not those associated with anaphylaxis.
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You are teaching about respiration in an anatomy and physiology course for prenursing students. What would you tell the students about pulmonary perfusion?
A) It is regulated by osmosis. B) It is an integral part of diffusion. C) It is the shunting of blood in the pulmonary circulation. D) It is the actual blood flow through the pulmonary circulation.
A client diagnosed with viral rhinitis tells the nurse that she has been using a decongestant nasal spray for several weeks and the symptoms are getting worse. Which of the following does the nurse suspect is occurring with this client?
1. Developing pneumonia 2. Subacute rhinitis 3. Rhinitis medicamentosa 4. Chronic otitis media
A patient is being seen for crisis intervention as a result of receiving a poor job evaluation. The self-esteem need that nursing assessment will most likely reveal a problem with:
a. dependency. b. role mastery. c. biological functioning. d. unmet financial responsibility.
A patient who has chronic adrenal insufficiency is admitted to the hospital for an open cholecystectomy
The nurse obtaining the admission history learns that the patient takes hydrocortisone 25 mg PO daily in the morning. The patient's surgery is scheduled for the next morning. The nurse will expect an order to: a. administer the usual morning dose of hydrocortisone 25 mg PO. b. administer hydrocortisone 75 mg PO in the morning. c. administer hydrocortisone 75 mg IV before surgery. d. withhold the morning dose of hydrocortisone and give it after surgery.