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The nurse is giving an antihistamine and will observe the patient for which side effects from the antihistamine? Select All That Apply 1.  Hypertension 2.  Dizziness 3.  “Hang over effect” 4.  Dry Mouth 5.  Tachycardia

A nurse practices sterile (aseptic) technique while suctioning a client’s tracheostomy.  The purpose of maintaining sterile (aseptic) technique is to break the chain of infection at which element?

A client with a 10-year history of asthma presents with respiratory distress  labored breathing, use of accessory muscles, and audible inspiratory and expiratory wheezes.  Which of the following assessments would most readily indicate the client’s asthmatic condition is worsening?        

The nurse is counseling a woman who is beginning antitubercular therapy with rifampin.  The client also takes an oral contraceptive.  Which statement by the nurse is most accurate regarding potential drug interactions?

A client suffered a stab wound to the chest wall. The nurse assesses the patient for which clinical manifestation that would indicate the presence of an open pneumothorax?                                                                                                                                 

 A client has been admitted to the hospital and diagnosed with pulmonary tuberculosis. What client education should the nurse plan to teach the client prior to discharge?    

An adult has had a bronchoscopy.  Which assessment findings best indicate to the nurse that the client is ready for discharge?                                   

A nurse is caring for a client with COPD: Emphyseama with pneumonia. Which of the nurse’s assessment findings best support the nursing diagnosis of Ineffective Airway Clearance for the client?                

The nurse starts gentamicin IVPB piggybacked onto normal saline.  Five (5) minutes after it is started, the client begins to exhibit shortness of breath and wheezing.  Which of the following actions should the nurse take first?      

The nurse is providing preoperative teaching for the patient/client who is to undergo a total laryngectomy in the morning.  Which nursing intervention is most important at this time in the patient/client’s management of care?