Select one:
a . Notify the client's healthcare provider.
b . Instruct a UAP to stay with the client.
c . Administer a PRN medication for agitation.
d
... [Show More] . Escort the client to a calm and quiet place.
84. W h e n a p a t i e n t g o e s f r o m c h r o n i c t o a c u t e c r i s i s :
C a l l D o c t o r , T r a n s f e r p a t i e n t t o I C U , c a l l 9 1 1 , C o d e B l u e … ( O n e o f t h e s e i s t h e a n s w e r )
85. M A O I s ( p h e n e l z i n e ( N a r d i l )
A v o i d f o o d s c o n t a i n i n g T y r a m i n e l i k e : R e d w i n e , a g e c h e e s e s , c h o c o l a t e e t c …
The visiting NUR is evaluating for client safety. The client is taking phenelzine (Nardil). A priority of
the NUR's teaching includes which of the following?
Select one:
a . Limiting daily intake of salt
b . Encouraging the client to have scheduled blood tests on time
c . Eliminating foods containing tyramine
d . Encouraging a fluid intake of at least 2,000 mL
86. M O N A F o r M y o c a r d i a l I n f a r c t i o n :
M o r p h i n e , O x y g e n , N i t r o g l y c e r i n , A s p i r i n .
87. A l c o h o l A b u s e :
C i r r h o s i s p a t i e n t s a r e d e f i c i e n t i n v i t a m i n B 1 - g i v e t h i a m i n e B 1 a n d i t h e l p s w i t h
n e u r o p a t h y , t i n g l i n g a n d n u m b n e s s .
88. P e r i t o n e a l D i a l y s i s :
• L i q u i d s h o u l d b e c l e a r i f i t s c l o u d y c o u l d b e a n i n f e c t i o n .
• W h a t e v e r g o e s i n h a s t o c o m e o u t .
A client with end stage renal disease (ESRD) is undergoing peritoneal dialysis. What observation
made by the NUR during the peritoneal dialysis treatment warrants immediate intervention?
Select one:
a . A 2,000 ml amount of dialysate was instilled, and 1,500 ml was drained.
b . The client complains of abdominal fullness during the dialysis treatment.
c . A weight loss of 2 pounds since yesterday was recorded after dialysis.
d . The dialysate takes about 20 minutes to drain, and is straw-colored. [Show Less]