Which precaution should the nurse teach the client who is prescribed to take thalidomide (Thalomid) as part of her treatment plan for multiple myeloma?
A. "Avoid high-fiber foods to prevent diarrhea."
B. "Use multiple forms of birth control to prevent birth defects."
C. "Drink plenty of fluids to prevent the development of diabetes mellitus."
D. "Avoid crowds and sick people to prevent contraction of contagious infections."
B
Thalidomide is a potent teratogen and has been known to cause severe birth defects after even one exposure of the drug. Both women and men who are taking this drug are urged to use mul-tiple forms of contraception to prevent exposing a fetus to this drug.
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A nurse notes a patient has abnormal vital signs. What action by the nurse is best?
a. Document the findings. b. Notify the provider. c. Compare with prior readings. d. Retake the vital signs.
The home health nurse is visiting a client for the first time. While assessing the client's medications, it is noted that there are at least 15 prescriptions and several over-the-counter medications that the client has been taking
Which intervention should the nurse take first? A) Check for drug-drug interactions. B) Determine whether there are any adverse side effects. C) Determine whether there are any medication duplications. D) Call the prescribing physician and report any polypharmacy.
Which outcome is most necessary for a patient diagnosed with renal calculi?
a. Patient states an awareness of signs and symptoms of kidney stones and knows where to find pain relief. b. Patient will measure intake and output so that they will be approximately equal. c. Patient will avoid infections and situations that would increase stress. d. Patient is able to describe measures to prevent recurrence of calculi.
The leadership team is deciding which clinical decision support system to implement in a large healthcare organization. Which should the team consider?
A) A system used to schedule client visits for follow-up care after extensive abdominal surgery B) A system used to register clients who are admitted to an acute healthcare facility for surgery C) A system used by emergency room administration to bill clients once their diagnoses are verified D) A system used by nurses to provide alerts for drug allergy, drug-drug interaction, and drug-laboratory interactions