A patient has been medicated during an asthma attack. Which assessment finding indicates to the nurse that the therapy is ineffective?
a. Trachea is at the midline.
b. Oxygen saturation is 96%.
c. Respiratory rate is 22 breaths per minute
d. Peak expiratory flow is 40% below expected value
D
A peak expiratory flow rate of 40% below the patient's personal best indicates that the patient is still having difficulty moving air into the respiratory passages because of airway narrowing. The asthma is not responding sufficiently to the drug. Although the respiratory rate is slightly high, many conditions can cause this and it alone is not an indication of ineffective drug response.
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A client refuses a p.o. medication and provides the nurse with a reason for refusing the medication. What should the nurse's action be?
a. Inform the client they cannot refuse a medication. b. Report it to the nurse manager. c. Administer the medication by an injectable route. d. Document the refusal and inform the prescriber.
During an assessment, a pregnant patient tells the nurse that "white foods" are not consumed in the patient's culture. What should the nurse do first after learning this information?
A) Ask the patient to define "white foods.". B) Document that "white foods" are not eaten. C) Explain that "white foods" have nutrients needed for pregnancy. D) Discuss reasons why "white foods" are avoided in the patient's culture.
A 68-year-old patient with a bleeding duodenal ulcer has a nasogastric (NG) tube in place, and the health care provider orders 30 mL of aluminum hydroxide/magnesium hydroxide (Maalox) to be instilled through the tube every hour. To evaluate the effectiveness of this treatment, the nurse
a. monitors arterial blood gas values daily. b. periodically aspirates and tests gastric pH. c. checks each stool for the presence of occult blood. d. measures the volume of residual stomach contents.
The nurse is caring for a client who is taking levothyroxine (Synthroid) and cholestyramine (Questran). Which reaction should the nurse monitor this client for when administering these medications?
1. Hypolipidemia 2. Hyperthyroid 3. Hyperlipidemia 4. Hypothyroid