A patient is experiencing diarrhea and being treated with diphenoxylate (Lomotil). Which condition requires that diphenoxylate (Lomotil) be administered cautiously?
A) Edema
B) Hepatorenal disease
C) Congestive heart failure
D) Cardiovascular insufficiency
B
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A 19-year-old woman started oral contraceptives 2 months ago. She now complains that she has noticed no improvement in her acne since she has been taking them. The nurse should provide what information?
a. The oral contraceptives are not strong enough if they have not worked by now. She needs a new prescription. b. It may take up to 6 months to see an improvement once oral contraceptives have been started. c. The benefits from oral contraceptives are not visible. These drugs work only in the basal layers of the skin. d. It is likely that she will need spironolactone in addition to oral contraceptives to obtain a beneficial effect on her acne.
Your patient asks for pain medication after abdominal surgery. How will you determine the patient's level of pain to know how much medication to administer?
1. Have the patient rate the pain on a scale. 2. Give the medication that is ordered. 3. Start pain medication with the smallest dose possible. 4. Reposition the patient and assess the pain.
The nurse recognizes that which patient would be most likely to develop hypovolemic shock? A patient with:
1. Decreased cardiac output 2. Severe constipation, causing watery diarrhea 3. Ascites 4. Syndrome of inappropriate ADH (SIADH)
A child with a history of seizures arrives in the emergency department (ED) in status epilepticus. Which is the priority nursing action?
1. Take vital signs. 2. Establish an intravenous line. 3. Perform rapid neurologic assessment. 4. Maintain patent airway.