A patient who is taking nelfinavir [Viracept] calls the nurse to report moderate to severe diarrhea. What will the nurse expect the provider to recommend?
a. An over-the-counter antidiarrheal drug
b. Immediate discontinuation of the nelfina-vir
c. Reducing the dose of nelfinavir by half
d. Taking the nelfinavir with food to avoid side effects
A
A dose-limiting effect of nelfinavir is moderate to severe diarrhea, which can be managed with OTC antidiarrheal medications. Unless the symptoms become severe, withdrawing the nelfinavir is not indicated. Reducing the dose by half or taking it with food is not indicated.
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A patient is admitted to the emergency department after being involved in a motor vehicle accident. The patient sustains blunt trauma to the abdomen. What nursing action would be most appropriate for this patient?
A) Ambulate immediately to expel flatus B) Place in a Fowler's position C) Immobilize on a backboard D) Place in a left lateral position
The patient with Addison's disease asks why she must take aldosterone. The nurse clarifies that the drug will:
1. increase cardiac output. 2. regulate the excretion of potassium and sodium. 3. decrease the level of cortisol. 4. lower the blood sugar level.
A nurse explains to family members that they can anticipate that death is very near for their loved one when they see which of the following? Select all that apply
1. Mottling of feet and legs 2. Edema of lower extremity 3. Slow and thready pulse 4. Agitation and withdrawal 5. Nonresponsiveness
The pediatric nurse caring for children in the emergency room teaches the student nurse about the injury statistics related to abdominal trauma, including:
Select all answers that apply. A) injuries are the leading cause of death in children and adolescents after their first year. B) injuries are responsible for more than 70% of all deaths in the 15- to 24-year age group. C) injuries from motor vehicle accidents are the primary cause of accidental death in the United States. D) injuries to the abdominal and genitourinary area accounts for 10% of serious trauma.