A patient who has been taking lisinopril (Zestril) develops swollen lips and reports that the tongue feels thick. What is your best action?
a. Document the report and reassure the patient that this is a common drug side effect.
b. Check the patient's pulse for rhythm and take the patient's blood pressure.
c. Ask the patient whether this has ever happened before.
d. Hold the lisinopril dose and notify the prescriber.
ANS: D
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The nurse works in a facility that cares for clients from a broad range of racial, ethnic, cultural, and religious backgrounds
Which statement should the nurse include in a presentation for nurses new to the facility on the client population of the facility? 1. "Our clients come from a broad range of backgrounds, but we have a good interpreter service." 2. "Many of our clients come from backgrounds different from your own, but it doesn't cause problems for the nurses." 3. "Because most of the doctors are bilingual, we don't have to deal with the differences in cultural backgrounds of our clients." 4. "Understanding the common values and health practices of our diverse clients will facilitate better care and health outcomes."
Calculate the infusion time for an IV of 1000 mL running at 75 mL/h
1. 13 hours, 20 minutes 2. 13.5 hours 3. 13 hours, 33 minutes 4. 13 2/3 hours
A patient develops a superinfection due to fluoroquinolone therapy. The patient asks the nurse why this happened. Which response by the nurse would be most appropriate?
A) "Your infection was really severe, so the drug wasn't as effective as it could have been." B) "This happens when your original infection begins to clear." C) "The drug disrupts your normal bacteria so it allows other organisms to grow." D) "We really don't know why this happens; it just does sometimes."
Some people readily become ill when under stress. Others are able to deal with tremendous stress and remain physically and mentally healthy. This disparity is affected by a person's level of hardiness
How can you apply this knowledge to your nursing care? 1) You cannot use this information at all. People are innately hardy or not. This is something that you must merely recognize. 2) You should encourage all people to develop some level of hardiness in order to get through difficult physical and emotional times. 3) You should assess for your own level of hardiness: if you are hardy, you will be a better nurse; if you are not, you can learn more about hardiness. 4) You can assess for hardiness in patients; you can encourage hardy patients to learn about their illness as a means for them to be more comfortable.