A patient recovering from a spinal cord injury (SCI) is experiencing gastric distress. Which medication should the nurse expect to be prescribed for this patient?
1. omeprazole (Prilosec)
2. dopamine (Intropin)
3. baclofen (Lioresal)
4. dantrolene (Dantrium)
Correct Answer: 1
Proton pump inhibitors such as omeprazole (Prilosec) are often administered to prevent stress-related gastric ulcers, a common complication in SCI. Vasopressors are used in the immediate acute care phase to treat bradycardia or hypotension due to spinal and neurogenic shock. Dopamine (Intropin) is used to treat hypotension in neurogenic shock. Antispasmodics such as baclofen (Lioresal) and dantrolene (Dantrium) may be used to treat spasticity in patients with spinal cord injury.
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1. "The sound is a blowing, pulsing sound." 2. "The sound is soft and constant. The pitch of the sound is low." 3. "It is grating, rough sound." 4. "It is tinkling and has a high pitch. The sound is sort of gurgling and irregular."
A patient seems bewildered when he confides in the nurse that all of his friends and leisure time have been centered on a drug culture. The nurse's best response would be:
a. "What other sort of activities might you enjoy?" b. "You will need to get new friends." c. "Returning to those activities will get you back here and in trouble." d. "You need to get a hobby."
Which comment made by a client with breast cancer indicates correct understanding regarding cancer causes and prevention?
a. "I will prevent recurrence of my cancer by eating a low-fat diet from now on." b. "If I had breast-fed my children, this would not have happened to me." c. "I hope this doesn't increase my risk for bone cancer or lung cancer." d. "I will have regular mammograms on my other breast to detect cancer early."
A patient has just had a bone marrow biopsy taken from the iliac crest. What is the nurse's next action?
1. Apply a fluid collection device around the drain. 2. Cover the biopsy site with a bulky pressure dressing. 3. Plan to assess the patient regularly for pain and bleeding. 4. Have the patient ambulate to mobilize marrow replacement.