What is a nurses priority action when a patient is experiencing anaphylactic shock while receiving IV medications? Correct Ans ~ Priority action: stop
... [Show More] the medication infusion
The nurse can also:
Administer epinephrine; infuse .9% sodium chloride, and elevate the lower extremities to help maintain adequate blood pressure
A nurse is caring for a group of clients in a long-term facility. One of the clients is walking in the hallway and bumping into walls and does not respond to his name. which of the following actions should the nurse take first? Correct Ans ~ Accompany the client back to his room.
What medication is contra indicated while taking St. John's wort? And why? Correct Ans ~ Sertraline
Taking concurrently puts the patient at risk for serotonin syndrome
Both of these are used for Tx of depression
Persistent otitis media Correct Ans ~ An infection of the middle ear
Passive smoking promote adherence of respiratory pathogen's to the lining of the middle ear space which prolongs inflammation and impedes drainage from the ear
Exposure to cold weather does not cause otitis media
Acarbose (Precose) adverse effects Correct Ans ~ Sleepiness, headaches, anemia; the most common adverse effects are gastrointestinal - diarrhea, abdominal distention, cramping, flatulence
presbyopia Correct Ans ~ impaired vision as a result of aging
Can affect one's ability to read the newspaper, the lens is unable to change shape to focus on close up objects
Myelomeningocele Correct Ans ~ Most severe form of spina bifida in which the spinal cord and meninges are in a cerebrospinal fluid-filled sac and protrude through the spine
Neural tube defect pts are at Rx for latex allergy
Most common complication of this disorder is UTI
Prevention of the development of amblyopia Correct Ans ~ A disorder of the eye and which unilateral central blindness occurs as a result of another problem, such as strabismus
Parents should patch the unaffected I
Strabismus Correct Ans ~ Cross eyed
Without treatment by 6 years of age this can lead to central blindness (amblyopia)
Ethambutol (Myambutol) Correct Ans ~ Med for TB, report vision changes immediately
Adverse effects: loss of red/green color discrimination due to optic neuritis; d/c if this occurs
Isoniazid (INH) Correct Ans ~ Antitubercular
Adverse effects: hepatotoxicity, peripheral neuropathy, yellowing of the sclera is an indication of jaundice that accompanies liver failure
Rifampin (Rifadin) Correct Ans ~ Anti TB and Antibiotic
Adverse effects: changes in color of bodily secretions to red-orange
What is a patient at risk for when they're platelet count is below the reference range? Correct Ans ~ Indicates thrombocytopenia, which puts the patient at increased risk for bleeding
What should a nurse anticipate with bladder distention in the fourth stage of labor? Correct Ans ~ Bladder will fluctuate with palpation
Bladder is dull to percussion
Uterus will be displaced to the right, is boggy, well above the umbilicus
cystitis Correct Ans ~ inflammation of the bladder lining, Commonly occurs with UTI
Prevention methods: Stay well hydrated, urinate before and after sex, wipe front to back, avoid tub baths
Intrauterine device (IUD) Correct Ans ~ Small, T-shaped device inserted by a physician inside the uterus to prevent pregnancy
Increased risk for a topic pregnancy
Does not protect from STI's or HIV
Manifestations of retinal detachment Correct Ans ~ sudden onset of decreased peripheral or central vision, dark floaters, flashes of light. curtain vision over part of visual field
Manifestations of cataract Correct Ans ~ Decreased color perception, blurry vision,clouding of the lens of the eye
Without treatment leads to blindness
Manifestations of Angle-closure glaucoma Correct Ans ~ Rapid onset of e severe pain around the eyes and face, reduced vision, colored halos, headaches, sudden onset of elevated IOP [Show Less]