The client has been started on Artane. The nurse notes that the client's bowel sounds are decreasing. What is the highest priority action on the part of the nurse?
a. Administer the drug; this is an expected reaction.
b. Administer the drug; this is an expected side effect.
c. Hold the drug; this is an adverse reaction to the drug.
d. Hold the drug; this is a life-threatening response.
Question 2
The client is being treated with a large dose of an anticholinergic medication. She complains of feeling disoriented. What should be the nurse's highest priority action based on the client's complaint?
a. Call the pharmacist; the dose of the medication may be incorrect.
b. Call the physician; the medication is causing an adverse reaction.
c. Call the pharmacist; the medication may be reaching a toxic level.
d. Call the physician; the medication is causing an expected side effect.
The nurse conducts the health history as the first step in the nursing assessment
Summation of Heart Sounds, Intensified P2, Diminished P2
Abnormal Breath Sounds
Building a Client Base
Positioning the client
Positioning the client