When administering aspirin to a patient with a history of peptic ulcer disease, the nurse may anticipate administering which drug(s) for prophylaxis against aspirin-induced ulcers? You may select more than one answer
a. Misoprostol
b. Ranitidine
c. Omeprazole
d. Lansoprazole
e. Antacids
a, c, d
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A nurse assesses an older adult client who was admitted 2 days ago with a fractured hip. The nurse notes that the client is confused and restless. The client's vital signs are heart rate 98 beats/min, respiratory rate 32 breaths/min, blood pressure 132/78
mm Hg, and SpO2 88%. Which action should the nurse take first? a. Administer oxygen via nasal cannula. b. Re-position to a high-Fowler's position. c. Increase the intravenous flow rate. d. Assess response to pain medications.
The nurse is caring for the patient after general anesthesia. How often does the nurse perform routine patient assessment and documentation in the postanesthesia care unit (PACU)?
a. Every 5 minutes b. Every 5 to 15 minutes c. Every 15 to 30 minutes d. Every 30 minutes to 1 hour
In cirrhosis of the liver, liver cells
a. decrease in number and increase in size. b. are displaced by growth of tumors. c. become disconnected because of break-down of connective tissue. d. are replaced by accumulations of fibrous connective tissue and fat.
The AACN has provided a directive regarding best practice for verification of feeding tube placement. Which of the following is an expected practice for tube placement?
A) Radiographic confirmation of correct tube placement on all critically ill patients who are to receive feedings or medications via blindly inserted gastric or small bowel tubes following initial use. B) The tube's entrance site to the nose or mouth should be marked and the length documented immediately after radiographic confirmation of correct tube placement. C) The mark on the tube's entrance site to the nose or mouth should be observed routinely to assess for a change in length of the external portion of the tube. D) Bedside techniques, including measuring the pH and observing the appearance of fluid withdrawn from the tube, should be used to assess tube location at regular intervals.