What primary assessment does the nurse make for a patient who is prescribed loperamide (Immodium)?
a. Tachycardia
b. Abdominal distention
c. Peripheral edema
d. Respiratory crackles
B
A potential life-threatening adverse effect of anti-motility drugs such a loperamide is toxic me-gacolon which is characterized by a very inflated colon and abdominal distention. After giving an antimotility drug, the nurse must be sure to check the patient's abdomen for distention and report this finding to the prescriber.
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A client with progressive mitral valve prolapse is experiencing sympathetic nervous system symptoms in addition to prolapse symptoms. Which teaching point should be stressed by the nurse in an effort to minimize these effects?
A) Antibiotic therapy before invasive procedures B) Low-dose aspirin daily C) Avoid caffeine. D) Decrease fluid and sodium intake.
When the type 2 diabetic patient says, "Why in the world are they looking at my hemoglobin? I thought my problem was with my blood sugar." The nurse responds that the level of hemoglobin A1c:
1. shows how a high glucose level can cause a significant drop in the hemoglobin level. 2. shows what the glucose level has done for the last 3 months. 3. indicates a true picture of the patient's nutritional state. 4. reflects the effect of high glucose levels on the ability to produce red blood cells.
An elderly client, with bilateral cataracts, arthritis, and a hearing deficit, is scheduled for cataract surgery. The nurse realizes that which of the following nursing diagnoses will be a priority for this client?
1. Ineffective Coping 2. Disturbed Sensory Perception: Visual 3. Decisional Conflict 4. Ineffective Therapeutic Regime Management
Attributes of effective teams include:
a. Friendly interaction. b. Respectful, consensus-building discussions. c. Embarrassing and personal criticism. d. Resentment toward other members.