The patient is quadriplegic and receives oxybutynin (Ditropan), an anticholinergic drug, to increase his bladder capacity. What is an important assessment of this patient by the nurse?
1. Is he irritable?
2. Is he constipated?
3. Is he gaining weight?
4. Is he lethargic?
2
Rationale 1: Anticholinergic drugs do not cause irritability.
Rationale 2: Anticholinergics slow gastrointestinal (GI) motility and can increase the risk for constipation.
Rationale 3: Anticholinergic drugs do not cause weight gain.
Rationale 4: Anticholinergic drugs do not cause lethargy.
Global Rationale: Anticholinergics slow gastrointestinal (GI) motility and can increase the risk for constipation. Anticholinergic drugs do not cause lethargy. Anticholinergic drugs do not cause weight gain. Anticholinergic drugs do not cause irritability.
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The nurse teaching the patient about risk factors that contribute to angina identifies the triggers that can cause anginal pain. Which of the following triggers can precipitate anginal pain?
A) Exposure to warm temperatures B) Stress or any emotion-provoking situation C) Five light meals per day D) Forgetting to take the antihypertensive medication
The nurse recognizes that arthritis affects an individual's functional ability. Interventions are aimed at relieving:
a. pain and discomfort. b. formation of contractures. c. stress on affected joints. d. inflammation and scarring.
The nurse prepares to irrigate the client's NGT after a colon resection. Which intervention does the nurse implement to irrigate the NGT?
1. Observe sterile technique for each irrigation. 2. Inject 50 ml of warm tap water into the tube. 3. Gently instill 30 ml of normal saline solution. 4. Teach the nursing assistant on NGT irrigation.
What is the mechanism of action of etoposide?
A. Etoposide inhibits Topoisomerase II B. Etoposide alkylates DNA C. Etoposide induces double strand breaks D. Etoposide inhibits microtubule elongation E. The mechanism of action of etoposide is not known