Author Question: The nurse withholds a scheduled dose of secobarbital (Seconal) to a client and notifies the health ... (Read 51 times)

silviawilliams41 · **on:** Jul 23, 2018

The nurse withholds a scheduled dose of secobarbital (Seconal) to a client and notifies the health care provider when what was assessed?

Standard Text: Select all that apply.
1. Respiratory rate of 8 breaths per minute
2. Heart rate of 58 beats per minute
3. Blood pressure 124/88 mmHg
4. Temperature 99.8F
5. Pain level 5 on numeric pain scale

Question 2

The nurse's client is prescribed medication for anxiety and sleep, and the nurse is providing instruction on lifestyle changes. What would be included in this teaching?

Standard Text: Select all that apply.
1. Avoid caffeine.
2. Avoid smoking.
3. Limit alcohol intake.
4. Exercise before bedtime.
5. Limit the intake of green leafy vegetables.

ky860224 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2
Rationale 1: Respiratory depression is a serious adverse effect of this medication.
Rationale 2: Bradycardia is a serious adverse effect of this medication.
Rationale 3: This blood pressure is within normal parameters.
Rationale 4: Temperature elevation is not an adverse effect of this medication.
Rationale 5: Pain is not an adverse effect of this medication.
Global Rationale: Respiratory depression and bradycardia are serious adverse effects of this medication. A blood pressure 124/88 mmHg is within normal limits. Temperature elevation and pain are not adverse effects of this medication.

Answer to Question 2

Correct Answer: 1,2,3
Rationale 1: Caffeine may decrease the effectiveness of prescribed medications.
Rationale 2: Nicotine may decrease the effectiveness of prescribed medications.
Rationale 3: Alcohol may increase the adverse effects of prescribed medications.
Rationale 4: Exercise should be increased during the day but not before bedtime.
Rationale 5: Green leafy vegetables do not need to be limited with these medications.
Global Rationale: Caffeine, nicotine, and alcohol may decrease the effectiveness of prescribed medications. Exercise should be increased during the day but not before bedtime. Green leafy vegetables do not need to be limited with these medications.