Nokea
The nurse is caring for a client with a history of atrial fibrillation who is receiving amiodarone (Cordarone) 200 mg PO daily. Which of the following symptoms should the nurse report immediately?
- A. Mild fatigue
- B. Dry cough and shortness of breath
- C. Occasional palpitations
- D. Mild nausea
Correct Answer: B
Rationale: Dry cough and shortness of breath suggest pulmonary toxicity, a serious amiodarone side effect. Options A, C, and D are less urgent: fatigue and nausea are common, and palpitations are expected in atrial fibrillation.
You may also like to solve these questions
A 25-year-old man is in an acute manic episode. The nurse knows that which client behavior would be MOST characteristic of mania?
- A. Agitation, grandiose delusions, euphoria, difficulty concentrating.
- B. Difficulty in decision-making, preoccupation with self, distorted perceptions.
- C. Paranoia, hallucinations, disturbed thought processes, hypervigilance.
- D. Fear of going crazy, somatic complaints, difficulties with intimacy, increased anxiety.
Correct Answer: A
Rationale: characteristic behaviors associated with an acute manic episode include agitation, grandiose delusions, euphoria, and concentration problems; mania is a mood of extreme euphoria and is manifested by more extreme levels of behavior
The nurse is assessing a client who has had a spinal cord injury. Which of the following assessment findings would suggest the complication of autonomic dysreflexia?
- A. Urinary bladder spasm pain.
- B. Severe pounding headache.
- C. Tachycardia.
- D. Severe hypotension.
Correct Answer: B
Rationale: severe headache results from rapid onset of hypertension
The nurse is performing an admission history for a client recovering from a stroke. Medication history reveals the drug clopidogrel (Plavix). Which clinical manifestation alerts the nurse to an adverse effect of this drug?
- A. Epistaxis
- B. Abdominal distention
- C. Nausea
- D. Hyperactivity
Correct Answer: A
Rationale: Clopidogrel is an antiplatelet medication that can increase the risk of bleeding, such as epistaxis (nosebleeds). Abdominal distention, nausea, and hyperactivity are not typical adverse effects of clopidogrel, so answers B, C, and D are incorrect.
The nurse recognizes which of these symptoms as characteristic of a panic attack?
- A. Palpitations, decreased perceptual field, diaphoresis, fear of going crazy.
- B. Decreased blood pressure, chest pain, choking feeling.
- C. Increased blood pressure, bradycardia, shortness of breath.
- D. Increased respiratory rate, increased perceptual field, increased concentration ability.
Correct Answer: A
Rationale: panic disorders are characterized by recurrent, unpredictable attacks of intense apprehension or terror that can render a client unable to control a situation or to perform simple tasks; client can experience palpitations, chest pain, shortness of breath, a decrease in perceptual field, and a fear of 'losing it' or going crazy
The initial response by the nurse to a delusional client who refuses to eat because of a belief that the food is poisoned is
- A. You think that someone wants to poison you?
- B. Why do you think the food is poisoned?
- C. These feelings are a symptom of your illness.
- D. You're safe here. I won't let anyone poison you.
Correct Answer: A
Rationale: You think that someone wants to poison you? This acknowledges the client's perception, opening discussion and expressing doubt.