A patient will receive an intramuscular injection of a drug that has a high first-pass effect. The provider plans to change the drug to an oral formulation when the patient is discharged. Which type of prescription would the nurse anticipate for the patient?
A. A lower drug dose
B. A higher drug dose
C. An enteric-coated oral formulation
D. An oral formulation of the same dose
Answer: B. A higher drug dose
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A nurse is seeing clients in the ophthalmology clinic. Which client should the nurse see first?
a. Client with intraocular pressure reading of 24 mm Hg b. Client who has had cataract surgery and has worsening vision c. Client whose red reflex is absent on ophthalmologic examination d. Client with a tearing, reddened eye with exudate
An inmate suffers from PTSD caused by severe sexual abuse during which she had been restrained by the perpetrator's girlfriend
One day she sees an inmate who reminds her of the perpetrator's girlfriend and has a flashback, during which she attacks the inmate. Correction officers place her in restraints per the jail's protocol. Which short-term response by the nurse would likely be most therapeutic? a. Support the use of restraints as needed to control violent outbursts and assure the safety of all inmates. b. Plan to meet with the patient to debrief her and help her calm after she is released from the required period of restraint. c. Contact a supervisor authorized to make an exception to the restraint policy and explain that an alternate response is needed to calm this particular inmate. d. Confront the corrections officers who initiated the restraints, explain the inappropriateness of this action, and request the inmate's release.
A nurse who is caring for a client with Paget's disease should plan which nursing intervention?
1. Do all client care activities at one time. 2. Encourage the client to stay out of bed most of the day. 3. Keep the client on bed rest. 4. Teach the client how to apply a back brace.
A high ammonia level contributes to hepatic encephalopathy. Which nursing implementation needs to be added to the nursing care plan as this level continues to increase?
a. Mouth care b. Increased frequency of neurologic checks c. Oxygen saturation monitoring d. Intake and output