Nokea
Kim is using bronchodilators for asthma. The side effects of these drugs that you need to monitor this patient for include:
- A. tachycardia, nausea, vomiting, heart palpitations, inability to sleep, restlessness, and seizures.
- B. tachycardia, headache, dyspnea, temp. 101 F, and wheezing.
- C. blurred vision, tachycardia, hypertension, headache, insomnia, and oliguria.
- D. restlessness, insomnia, blurred vision, hypertension, chest pain, and muscleweakness.
Correct Answer: A
Rationale: Bronchodilators are medications used to relax and open the airways in the lungs, making it easier to breathe for patients with conditions like asthma. Common side effects of bronchodilators that need to be monitored in patients include tachycardia (increased heart rate), nausea, vomiting, heart palpitations, inability to sleep, restlessness, and in severe cases, seizures. These side effects can vary depending on the type of bronchodilator being used, but it is important for healthcare providers to monitor patients for these symptoms and adjust their treatment as needed.
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The MOST likely cause of a 4-year-old boy refusing to go to bed and remaining active is
- A. thyrotoxicosis
- B. ADHD
- C. behavioral insomnia of childhood
- D. sleep-onset association disorder
Correct Answer: C
Rationale: Behavioral insomnia involves resistance to bedtime routines.
Which of the ff vitamins does a client lack if there is a problem with the absorption of calcium?
- A. Vitamin A
- B. Vitamin B
- C. Vitamin C
- D. Vitamin D
Correct Answer: D
Rationale: Vitamin D is essential for the absorption of calcium in the body. Without sufficient vitamin D, the absorption of calcium from the diet is impaired, leading to potential issues with calcium deficiency. Vitamin A, B, and C do not have a direct role in the absorption of calcium. Vitamin D helps regulate the amount of calcium and phosphate in the body, which are necessary for bone health, muscle function, and other important processes. Therefore, a lack of Vitamin D can contribute to weakened bones and potential health problems related to calcium deficiency.
A client with a history of cardiac dysrhythmias is admitted to the hospital with the diagnosis of dehydration. The nurse should anticipate that the physician will order;
- A. A glass of water every hour until hydrated
- B. Small frequent intake of juices, broth, or milk
- C. Short-term NG replacement of fluids and nutrients
- D. A rapid IV infusion of an electrolyte and glucose solution
Correct Answer: D
Rationale: A client with a history of cardiac dysrhythmias and dehydration requires careful monitoring and management of fluid and electrolyte balance. The most appropriate intervention for rapid correction of dehydration in this scenario is a rapid IV infusion of an electrolyte and glucose solution. This method allows for the quick replacement of fluids and essential electrolytes to restore the client's hydration status efficiently and effectively. Administering fluids orally may not be adequate in this situation, and NG replacement of fluids and nutrients may not be necessary if the client's condition can be managed through IV therapy. Therefore, option D is the most appropriate choice for this client.
What should nursing interventions to maintain a patent airway in a newborn include?
- A. Sleeping in the prone (on abdomen) position
- B. Wrapping neonate as snugly as possible
- C. Positioning neonate supine while sleeping
- D. Using bulb syringe to suction as needed, suctioning nose first, and then pharynx
Correct Answer: D
Rationale: Nursing interventions to maintain a patent airway in a newborn should prioritize safety and best practices. Positioning the neonate supine while sleeping is crucial to reduce the risk of sudden infant death syndrome (SIDS) and ensure proper airway alignment. Using a bulb syringe to suction as needed, with the correct technique of suctioning the nose first and then the pharynx, helps effectively remove secretions and keep the airway clear. This intervention promotes optimal respiratory function and reduces the risk of airway obstruction in newborns. Sleeping in the prone position is not recommended due to the increased risk of SIDS. Wrapping the neonate as snugly as possible can also pose risks of overheating and compromising the airway, making it an unsafe practice.
Kasabach-Merritt syndrome is characterized by all the following EXCEPT
- A. thrombocytopenia
- B. microangiopathic hemolytic anemia
- C. coagulopathy
- D. association with infantile hemangiomas
Correct Answer: D
Rationale: Kasabach-Merritt syndrome is not typically associated with hemangiomas.