A 60-year-old female patient has begun taking a daily bisphosphonate to prevent osteoporosis and complains of gastrointestinal (GI) upset and dyspepsia. The primary care NP's initial response should be to:
a. prescribe a proton pump inhibitor (PPI).
b. order intravenous (IV) bisphosphonates.
c. suggest that she take the drug with food.
d. review the instructions for taking the drug with the patient.
D
Oral bisphosphonates must be taken on an empty stomach, and the patient must remain upright and not eat or drink anything for 30 to 60 minutes. GI upset and dyspepsia are frequent and can be minimized with correct administration. A PPI is not indicated. IV bisphosphonates may be indicated if the patient is unable to tolerate the oral drug after correct administration is confirmed. Bisphosphonates should not be taken with food.
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1. "The chest tube helps to decompress the lung and prevents further complications.". 2. "The chest tube helps the patient breathe more easily when on a ventilator.". 3. "The chest tube is an elective procedure that many physicians like to perform.". 4. "The chest tube is required to provide PEEP to the patient.".
The nurse prepares to perform a z-track injection to a client. Place the steps of the procedure in correct order. A) Maintain displacement and insert needle at a 90-degree angle.B) Inject medication slowly, keeping skin taut.C) Pull skin 2.5-3.8 cm (1-1. in.) laterally away from the injection site.D) Withdraw needle.E) Release retracted skin.
Fill in the blank(s) with the appropriate word(s).
The patient is afraid to have a thoracentesis at the bedside. The nurse sits with the patient and asks about the fears. During the procedure, the nurse stays with the patient, explaining each step and providing encouragement. What is the nurse displaying?
a. Providing touch b. Providing a presence c. Providing family care d. Providing a listening ear