The client reports the regular use of all the following medications. Which one alerts the nurse to the possibility of renal impairment when used consistently?
A. Antacids
B. Penicillin
C. Antihistamine nasal sprays
D. Nonsteroidal anti-inflammatory drugs
D
NSAIDs inhibit prostaglandin production and decrease blood flow to the nephrons. They can cause an interstitial nephritis and renal impairment.
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When a nurse visited a client's home, it was apparent that the client had not begun to implement the needed exercise program. Rather, the client had been doing drawings about his illness experience
Which of the following actions would be most appropriate for the nurse to take next? a. Express admiration for his artistic ability, and do not schedule future visits because the patient is noncompliant b. Point out the negative consequences that will ensue if the client does not begin exercising c. Review with the client why exercise is so crucial to his recovery d. Suggest drawing might be more forceful after exercising
A nursing student who is working on a postsurgical unit assisting patients with personal hygiene plans to provide a back rub to each of her patients
The nursing student discusses the importance of this activity because research demonstrates that it enhances patient comfort and relaxation with the nurse assigned to these patients. The nurse instructs her that back rubs would be con-traindicated on which of the following patients? a. A 56-year-old patient with a colon resec-tion b. A 45-year-old patient with a spinal cord injury c. A 67-year-old patient with an appen-dectomy d. A 24-year-old patient with an abdominal hysterectomy
With the patient's weight in mind, what other considerations should be taken into account when setting up the instrumentation? Provide the rationale for your answers
You are assigned to a general surgery theatre where the cases for the day are being performed laparoscopically. Mrs Young, a 44 year-old female, is booked on the emergency list for a laparoscopic cholecystectomy. Mrs Young weighs 110 kg. What will be an ideal response?
A patient who is taking oral contraceptives begins taking valproic acid (Depakote) for seizures. After a week of therapy with valproic acid, the patient tells the nurse that she is experiencing nausea. What will the nurse do?
a. Ask the patient if she is taking the valproic acid with food, because taking the drug on an empty stomach can cause gastrointestinal side effects. b. Contact the provider to request an order for a blood ammonia level, because hyperammonemia can occur with valproic acid therapy. c. Suggest that the patient perform a home pregnancy test, because valproic acid can reduce the efficacy of oral contraceptives. d. Suspect that hepatotoxicity has occurred, because this is a common adverse effect of valproic acid.