A client is prescribed isotretinoin (Accutane). What is the most important instruction to teach the client before beginning this medication?
a. Do not go out in the sun while on this medication.
b. Call the health care provider if you have muscle weakness.
c. Increase fluid intake while on this medication.
d. Do not take aspirin while on this medication.
Answer: b. Call the health care provider if you have muscle weakness.
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In the hospital, the nurse is caring for a client of Asian descent who was just started on warfarin (Coumadin). What would be the best plan of care for the client? (Select all that apply.)
a. Start warfarin at a high dose to decrease the chance for further clotting problems. b. Monitor international normalized ratio (INR) once a day in the hospital. c. Teach the client to frequently check for any bruising. d. Initiate fall precautions and strict activity limitations. e. Start warfarin at a lower-than-normal dose owing to slower metabolism of the drug.
The provider's prescription reads, "Administer 5% dextrose solution with normal saline (D5/NS) intravenously now.". Which should the nurse implement next?
1. Infuse a bolus of D5/NS to the client now. 2. Regulate IV infusion pump at 125 ml/hour. 3. Call the provider to clarify the prescription. 4. Perform venipuncture with a butterfly needle.
The client coughs out the tracheostomy tube. Which does the nurse implement?
1. Ventilate the client manually. 2. Insert a new tracheostomy tube. 3. Open the stoma with a fingertip. 4. Speak to the client's provider.
A deficiency of which hormone causes diabetes insipidus?
A. antidiuretic hormone B. follicle-stimulating hormone C. insulin D. thyroid-stimulating hormone