The nurse is reviewing the medical record of a client prescribed mebendazole for the treatment of pinworm. Which patient would the nurse plan to monitor most closely?
1. Age under 12 years
2. Age of 35 years with cirrhosis
3. Age of 42 with lupus
4. Age of 17 with a femoral fracture
Correct Answer: 2
Rationale 1: A child under the age of 12 could take this drug if indicated.
Rationale 2: Because it is metabolized by the liver, patients with serious hepatic impairment should be monitored carefully.
Rationale 3: Lupus is an inflammatory disorder and would not be a contraindication.
Rationale 4: A client with a femoral fracture could take this drug if needed.
Global Rationale: Because it is metabolized by the liver, patients with serious hepatic impairment should be monitored carefully. The other patients will be monitored for desired effects of the treatment, but are not at risk for adverse effects.
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a. "Ambulating in the hallway twice a day will help." b. "I will apply a cold compress to the painful area on your back." c. "Drinking a warm beverage can relieve this referred pain." d. "You should cough and deep breathe every hour."
The nurse collaborating on a community committee designing responses for a bioterrorism attack would understand that an attack by smallpox (Select all that apply)
a. can be perpetuated through contact with infected items. b. could be made with only a small amount of the virus. c. is predicted to be deadly because there is no vaccine available. d. will create terror because there is no effective treatment for smallpox. e. would be hard to control because of the long time between infection and illness.
A client with a 20-year history of diabetes mellitus is reviewing his medications with the nurse. The client holds up the bottle of duloxetine (Cymbalta) and states, "My cousin has depression and is on this drug
Do you think I'm depressed?" What is the nurse's best response? a. "Many people with long-term diabetes become depressed after a while." b. "It's for peripheral neuropathy. Do you have burning pain in your feet or hands?" c. "This antidepressant also has an-ti-inflammatory properties for diabetic pain." d. "That is possible, but most medications are used for several different things."
The nurse is caring for a pt with a nephrostomy. the nurse notifies the health care provider about which assessment findings?
a. urine drainage is red-tinged 4 hours post surgery b. amount of drainage decreased and the pt has back pain c. there is a small steady drainage for the first 4 hours postsurgery d. the nephrostomy site looks dry and intact