The clinic nurse is caring for a 78-year-old male patient who is taking a proton pump inhibitor. What condition is this patient at increased risk for developing?
A) Sickle cell anemia
B) Megaloblastic anemia
C) Pernicious anemia
D) Iron deficiency anemia
C
Feedback:
The use of proton pump inhibitors and H2 blockers in older adults has been associated with decreased absorption of vitamin B12 and the development of pernicious anemia. The use of proton pump inhibitors does not increase the risk of sickle cell, megaloblastic, or iron deficiency anemias.
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An adult patient who is currently undergoing rhinoplasty has developed the characteristic signs and symptoms of malignant hyperthermia. The operating room nurse should anticipate what intervention?
A) Hemodialysis B) Tracheal intubation C) IV administration of naloxone (Narcan) D) IV administration of dantrolene sodium (Dantrium)
The nurse is teaching a new mother the proper techniques for breastfeeding her newborn. Which of the following is a recommended guideline that should be implemented?
A) Wash the hands and breasts thoroughly prior to breastfeeding. B) Stroke the nipple against the baby's chin to stimulate wide opening of the baby's mouth. C) Bring the baby's wide-open mouth to the breast to form a seal around all of the nipple and areola. D) When finished the mother can break the suction by firmly pulling the baby's mouth away from the nipple.
A[1][2] 31-year-old female client wishes to begin taking oral contraceptives. The medical history indicates that the client had a deep vein thrombosis three years ago
After reviewing the objectives set forth in Healthy People 2020, which of the following is the best response by the nurse? 1. "We can have the healthcare provider write you a prescription today.". 2. "You will also have to take blood thinners.". 3. "I need to perform a Homan's test on you.". 4. "Taking oral contraceptives increases your risk of developing clots.".
In which position should the nurse place a child who is experiencing an anaphylactic shock reaction?
1. Trendelenburg position 2. Flat, with legs slightly elevated 3. High Fowler position 4. Reverse Trendelenburg position