A. Assess client's temperature every 4 hours
B. Monitor intake and output
C. Monitor complete blood count
D. Give analgesics PRN as ordered
E. Ask the client to report sore throat immediately
Rationale: Alternatives A, C and E are correct. Fluphenazine is a drug intended to manage Schizophrenia. Client who is under the medication is at high risk for infection because of the occurrence of possible blood dyscrasias indicating drop in the number of important blood cells including leukocytes. It is important …show more content…
After three days, the client who is prescribed with Meperidine hydrochloride (Demerol) for pain management has returned to the Emergency Room with lots of physical complaints. During the interview, the nurse explained the the following symptoms are side-effects of the drug. Select all that apply.
C. Urinary Frequency
Rationale: Alternative A, B and E are correct. Meperidine hydrochloride is a narcotic analgesia. It directly acts on the central nervous system in order to decrease the perception of pain. In order to prevent client form becoming apprehensive, inform him of the expected side effects of the drug including loss of appetite, drowsiness, hypotension, constipation, urinary retention, tremors and nausea and vomiting.
95. The client visited the clinic for complaints of several sign and symptoms. The nurse learned that he is taking medications for the management of hypertension and heart disease. These are diuretic, beta blocker and Digoxin (Lanoxin). Digoxin toxicity is suspected. Which of the following manifestations support the primary impression? Select all that apply.
D. Visual disturbances