The nurse receives orders on several patients for oral medications. The nurse will question the order on patients with which conditions? (Select all that apply.)
a. History of asthma and difficulty breathing
b. Inability to swallow food
c. Decreased level of consciousness
d. Use of gastric suction
B, C, D
Certain situations contraindicate receiving medications by mouth, such as nausea/vomiting, inability to swallow, bowel inflammation, reduced peristalsis, recent gastrointestinal surgery, gastric suction, and decreased level of consciousness. Alterations in GI function can interfere with absorption, distribution, and excretion of the drug. Impaired swallowing and decreased level of consciousness increase the risk for aspiration. A history of asthma and difficulty breathing is not a contraindication to oral medications.
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A neonate receives a diagnosis of hydrocephalus. The pediatric nurse is aware that congenital anomalies related to this condition include:
Select all answers that apply. A) aqueductal stenosis. B) intraventricular hemorrhage. C) Chiari I and II malformations. D) Dandy-Walker malformation,
During a first trimester prenatal assessment the nurse has identified that the client has an inadequate intake of folic acid. Which of the following foods would be of greatest benefit for the client to consume?
1. Potatoes and grapes 2. Cranberries and squash 3. Apples and corn 4. Orange juice and turkey
Good Samaritan Laws exist to protect health care professionals from legal liability for actions administered in an emergency situation. Which of the following is not correct regarding Good Samaritan Laws?
a. The care is provided with good intent above and beyond duty by an assigned health care professional. b. The care is rendered in an emergency situa-tion only. c. The health care worker is not paid for his or her services. d. The care provided did not recklessly or intentionally cause harm or injury.
A nurse is caring for a client admitted for a mastectomy. What instruction should be given to the client?
A) Follow a sodium-rich diet after the surgery. B) Instruct how to care for a Jackson-Pratt (JP) drain. C) Avoid lifting the hand to brush her hair after surgery. D) Instruct the client about Kegel exercises.