Mr. T reports that he stopped taking the new medication he was prescribed at his last clinic visit because it caused gastric distension, flatulence and diarrhea

The nurse looked up possible side effects of the medication and these were not listed, but when she spoke with the pharmacist he informed her that the side effects were probably caused by: 1. Lactose which was used as a filler in the medication.
2. Taking the medication with food.
3. Taking the medication without food.
4. Taking the medication at bedtime.


1
Rationale: Lactose is used as filler in some medications and causes adverse side effects in clients with lactose intolerance. Medications should be taken as directed with or without food or at bedtime since recommendations are based on receiving the greatest benefit from the drugs.

Nursing

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At a health care organization, patients are turned every 2 hours to help prevent pressure ulcers. Because of this nursing intervention, patients exhibit far fewer pressure ulcers than the national average

Which term should the nurse use to describe this finding? a. Sentinel event b. Qualitative research c. Manuscript narrative d. Nursing-sensitive outcome

Nursing

A nurse has entered the room of a resident at the care facility and discovered that the resident has lit some paper on fire in the trash can. What types of fire extinguisher are appropriate for putting out this fire? Select all that apply

A) Class A B) Class B C) Class C D) Class D E) Class ABC

Nursing

Nurses should be aware of the strengths and limitations of various biochemical assessments during pregnancy, including that

a. Chorionic villus sampling (CVS) is becoming more popular because it provides early diagnosis. b. Screening for maternal serum alpha-fetoprotein (MSAFP) levels is recommended between 10 and 12 weeks of gestation in order to give parents time to consider options. c. Percutaneous umbilical blood sampling (PUBS) is one of the multiple marker screen tests for Down syndrome. d. MSAFP is a screening tool only; it identifies candidates for more definitive procedures.

Nursing

The nurse is preparing a plan of care for an African-American patient who has had a change of bowel habits from being constipated and having only two firm stools weekly to having three or more loose stools daily

Which comment is related to cultural variation for health information? a. The individual states, "I will need to discuss health care options with my grandmother." b. The eldest male member of the family will make all health care decisions. c. The patient has high respect for the nurse and nods approvingly, although she has no intention of complying with instructions or plan of care. d. The individual speaks very quietly and gently reaches to hold the nurse's hand for support.

Nursing