Mrs. Lawrence grew up in Europe and raises many herbs for medicinal use in her home garden. She tells you that peppermint tea is a good cure for stomach ailments and insists upon you giving it to her husband, your patient, with his meals
You should:
A) Refuse to take part in her plan of treatment, and tell her that her ideas will likely harm her husband
B) Let her know that you will request an order from her husband's physician to allow the tea to be given
C) Explain to her that in this country, herbal medications cannot be given by nurses at all
D) Refer her to the pharmacist for a more comprehensive explanation of why herbal remedies will not help her husband
B
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Which of the following cases seen by a nurse working in the emergency department identifies a situation that suggests a case of elder mistreatment?
A) an 85-year-old male who has several small areas of bruising on the back of the hands and is taking clopidogrel sisulfate (Plavix) and aspirin daily B) an 86-year-old woman who has three dime-size burned areas on her upper inner thigh C) a 77-year-old woman who fell at home after tripping over her dog and broke her arm about 30 minutes earlier D) a 73-year-old male with a history of gastric ulcers who is found to be anemic after vomiting blood 3 hours earlier
The nurse is instructing the client who had a right hip replacement to descend stairs by using axillary crutches. Which should the nurse include in client teaching?
1. Use the handrail on the right side. 2. Shift weight to the left leg to begin. 3. Keep crutches very close to the hips. 4. Place left leg on the stair below first.
A patient who is taking nicardipine (Cardene) develops skin lesions, itching, fever, and achy joints. What is the nurse's best first action?
a. Hold the drug and notify the prescriber. b. Document the finding as expected with this drug. c. Administer a dose of oral diphenhydramine (Benadryl). d. Apply a thin coat of hydrocortisone ointment to the lesions.
Which is a safety measure for making beds?
a. Lower the bed for body mechanics. b. Wear gloves when removing linen from the person's bed. c. After making a bed, raise the bed to its highest position. d. After making an occupied bed, never raise the bed rails.