During discharge teaching, the nurse is to give the patient a signed, dated, and timed prescription from the physician for medications to be taken at home. Which prescription drug order needs to be corrected before it is given to the patient?
a. Warfarin (Coumadin) 5 mg PO daily before dinner
b. Methotrexate (Trexall) 8 tablets PO once weekly on Saturdays
c. Levothyroxine (Synthroid) 137 mcg PO daily before breakfast
d. Zolpidem (Ambien) 5 mg PO at bedtime as needed for sleep
ANS: B
All prescriptions must have the name of the drug to be administered along with dosage, route, and frequency. The methotrexate order does not contain a dosage for the drug, just the number of pills to be taken.
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A 76-year-old widow has recently moved from her home to a nursing home; her daughter has come to the primary care nurse who has taken care of her mother for years concerned that her mother seems to have "lost her memory."
She would like an appointment for her mother to be seen. The nurse is aware that: A) The daughter is overreacting because she may feel guilty for putting her mother in the nursing home. B) Cognitive changes are uncommon in the elderly people over a short period, and this may be serious. C) Based on the daughter's report, the mother may be in an abusive situation at the nursing home. D) Cognitive changes are common when elderly people have significant changes in their environment.
To attempt to alleviate the pain of a client with acute pancreatitis, the nurse would place the client in the
a. prone position with a pillow under the abdomen. b. semi-Fowler position with a small pillow under the knees. c. side-lying position with a pillow splinting the abdomen. d. supine position with a cold pack to the abdomen.
The nurse is assessing an older adult's musculoskeletal system. The nurse would evaluate that which findings represent normal age-related changes? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Slightly reduced ROM of the shoulder 2. Slower gait 3. Redness and crepitus of the knee joint 4. Inability to abduct the thumb 5. Asymmetry of the pelvis
A client who fell while skiing reports mild pain at the site of his coccyx. An X-ray shows no bone damage, but the client is concerned that he has damaged his spinal cord
Which of the following responses shows the nurse's understanding of the client's concern? 1. "Your spinal cord ends above your coccyx bone, so there is no need to worry.". 2. "I see no reason to be worried, but I can share your concern with your health care provider.". 3. "As long as there is no break in the vertebral column, your spinal cord is undamaged.". 4. "If you are not experiencing any weakness or numbness now, your spinal cord is undamaged.".