Answer to Question 1
Correct Answer: 4
Rationale 1: Headache, nasal stuffiness, and earache are not common adverse effects of Pulmozyme.
Rationale 2: Nausea, vomiting, and diarrhea are not common adverse effects of Pulmozyme.
Rationale 3: Epigastric pain, belching, and flatulence are not common adverseeffects of Pulmozyme.
Rationale 4: The most common adverse effects of Pulmozyme are chest pain, hoarseness, sore throat, and conjunctivitis.
Global Rationale: Dornase alfa (Pulmozyme), is an enzyme that was approved in 1993 for the management of thick bronchial secretions in patients with cystic fibrosis. Dornase alfa breaks down deoxyribonucleic acid (DNA) molecules in the mucus, causing it to become less viscous. It is administered by the oral inhalation route. Adverse effects include chest pain, conjunctivitis, hoarseness, and pharyngitis. The remaining adverse effects are not assocated with Pulmozyme.
Answer to Question 2
Correct Answer: 2
Rationale 1: Mucomyst does not cause tingling.
Rationale 2: Mucomyst smells like rotten eggs. The odor bothers some more than others.
Rationale 3: Mucomyst does not cause dizziness.
Rationale 4: Mucomyst does not trigger chest pain.
Global Rationale: Acetylcysteine has a very unpleasant odor and can cause nausea and vomiting. Local irritation and stickiness on the face are also noted. It does not cause tingling, dizziness, or chest pain.
The grey nurse shark is critically endangered on the Australian east coast.
The patient and his family meet with the nurse to discuss progress on the patient care plan.
Responsibilities of the nurse manager
Testing the client’s ability to feel vibrations, the toe
Testing the client’s ability to feel vibrations, the knee
Position the client