A client is being treated with blood transfusions for a large peptic ulcer in the duodenum. Which information in the client's history should the nurse suspect as causing this health problem?
A) Allergies to penicillin and morphine sulfate
B) History of chronic atrial fibrillation
C) Daily medications include naproxen sodium and warfarin (Coumadin).
D) Six weeks postoperative cataract extraction with lens implant
Answer: C
Patients who are taking high doses of nonsteroidal anti-inflammatory agents (NSAIDs) such as naproxen sodium and anticoagulants such as warfarin are predisposed to developing large ulcers that do not cause pain. The first symptom the client often experiences is a significant bleeding episode. Concurrent use of NSAIDs and anticoagulants should be avoided. The allergy to penicillin and morphine sulfate, history of atrial fibrillation, and recent eye surgery are not relevant to the client's bleeding incident.
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A clinic nurse is meeting with a 38-year-old patient who states that she would like to resume using oral contraceptives, which she used for several years during her twenties
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What is the most important focus of hospice care?
A) Focus of care is on the family as well as the patient. B) Focus of care is on the patient centrally and the family peripherally. C) Focus of care is solely on the patient. D) Focus of care emotionally is totally on the family.
While bathing the patient, the nurse notes that a transdermal patch that was meant to be on the patient for 3 days is now gone on the second day. The nurse should:
a. document the loss and apply a fresh patch to be replaced in 3 days. b. report the loss to the charge nurse. c. document the loss, replace the patch, and continue with the original schedule for replacement. d. remind the patient that, until the patch is replaced in 24 hours, oral pain relief will be available.