A patient is being discharged from the hospital with a prescription for erythromycin. The nurse is reinforcing teaching and should include which of the following about this medication? (Select all that apply.)
a. Take pills on an empty stomach.
b. Drowsiness may occur.
c. Take with a full glass of water but not with an acidic juice.
d. Report vaginal irritation or white patches in the mouth.
e. Gastric distress may occur, but unless it is severe do not discontinue the medication.
f. Avoid sun exposure.
ANS: A, C, E
A. Give on an empty stomach 1 hour before or 2 hours after meals; C. give with a full glass of water (not with acidic fruit juices); and E. explain that gastric distress is common but not a reason to stop the drug. B. Fluoroquinolones may cause drowsiness. D. Penicillins may cause white patches in the mouth or vaginal irritation. F. Several other types of anti-infectives require avoidance of sun exposure, such as sulfonamides or tetracycline.
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When considering the concepts related to blood pressure, the nurse knows that the concept of mean arterial pressure (MAP) is best described by which statement?
a. MAP is the pressure of the arterial pulse. b. MAP reflects the stroke volume of the heart. c. MAP is the pressure forcing blood into the tissues, averaged over the cardiac cycle. d. MAP is an average of the systolic and diastolic blood pressures and reflects tissue perfusion.
The nurse recognizes that an older adult patient with COPD has a higher incidence of developing which age-related skeletal change that will alter the ability to exchange air effectively?
a. Osteoporosis b. Arthritis c. Kyphosis d. Osteomyelitis
A Continuous Quality Improvement (CQI) initiative has been launched at an outpatient mental health resource center. What activity will be prioritized during the CQI process?
A) Reviewing the budget of the facility to determine whether continuing education is taking place B) Auditing the educational credentials of each individual who is involved in the provision of care C) Examining incident reports to determine lapses in care and measures to prevent similar events D) Critically examining the processes through which care is provided
A 93-year-old resident eats only a few bites at meals and then refuses to eat more. Which intervention might the nurse use to help delay skin breakdown from diminished nutrition?
a. Spoon-feed the resident. b. Request an order for a feeding tube. c. Inform the resident of the need to increase intake. d. Offer 4 ounces of fluid every hour.