The client with gastroesophageal reflux disease (GERD) has a new prescription for pantoprazole (Protonix). Which of the following instructions should the nurse plan to provide to the client?
1. Chew the pill thoroughly.
2. Swallow the tablet whole.
3. Crush the pill if it is difficult to swallow.
4. Headache is expected to occur.
2
Rationale: Protonix, a proton pump inhibitor, is a delayed-release medication and should be swallowed whole. It should not be chewed or crushed. Headache is a potential side effect of the medication and should be reported to the health care provider.
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A leading cause of death in critically ill patients is sepsis and septic shock. What nursing intervention is most directed toward preventing this life-threatening complication?
A) Strict adherence to hand hygiene protocols B) Prompt initiation of isolation protocols C) Patient and family preventive teaching D) Sterile technique for care of intravenous sites
The nurse is admitting a 35-year-old patient to the preoperative unit in preparation for an elective inguinal hernia repair procedure to be performed under general anesthesia. What is the nurse's initial priority nursing assessment?
A) Assess the patient's anxiety. B) Start an IV. C) Show the family the waiting area. D) Weigh the patient.
An HIV-positive client with pneumocystis carinii pneumonia (PCP) is confused and keeps removing the intravenous piggyback (IVPB) needle during the administration of his trimetho-prim-sulfamethoxazole (Bactrim)
Select the instructions by the charge RN to the LPN adminis-tering medications that would best rectify this situation. a. Give the client his as-needed (PRN) seda-tive a half hour before the IVPB medica-tion. b. Assign one of the certified nursing assis-tants (CNAs) to stay with the client during the medication administration. c. During the 30 minutes the medication in-fuses, place the client in bilateral wrist restraints. d. Call the physician and request the medica-tion by mouth.
Which has the same meaning for everyone?
a. Hot b. Warm c. Elevated temperature d. Temperature of 99? F