Describe two alternative medical systems.

Anurse is assessing a client who receives monthly injections of cyanocobalamin. which of the following findings indicates a therapeutic effect of the medication? a. absence of hand tremors b. hematocrit 45% c. potassium 3.8 meq/l d. improved appetite

Acharge nurse is observing a newly licensed nurse provide care to a group of clients. which of the following actions by the newly licensed nurse requires an incident report by the charge nurse? a. a client who has a lithium level of 1.8 meq/l receives her morning dose of lithium. b. the nurse administers ondansetron to a client who has two episodes of vomiting after receiving meperidine 75 mg im. c. the nurse requests a higher dose of morphine for a client who reports severe pain 30 min after receiving morphine 2 mg iv bolus. d. a client who has a blood glucose level of 120 mg/dl receives her morning dose of insulin.

Mrs. h, age 42 years, is experiencing severe rheumatoid arthritis in her wrists, fingers, and knees. the joints are quite inflamed, red, and swollen. she is sitting rigidly in a chair and refuses to put on a sweater, even though she is shivering, or let anyone touch her arms. she has been prescribed an analgesic and an anti-inflammatory drug, but her dose is not due for another hour. she is feeling nauseated, so she has not eaten for the past 8 hours. based on patient history and the signs and symptoms, discuss how the effects of pain are exacerbating her condition.