The primary care nurse practitioner (NP) is seeing a patient who reports chronic lower back pain. The patient reports having difficulty sleeping despite taking ibuprofen at bedtime each night. The NP should prescribe:
a. diazepam (Valium).
b. metaxalone (Skelaxin).
c. methocarbamol (Robaxin).
d. cyclobenzaprine (Flexeril).
D
Cyclobenzaprine (Flexeril) is indicated for chronic low back pain and provides an added benefit of aiding sleep, which is a common problem among patients with back pain. The other medications are used for acute lower back pain.
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Infuse 1 L normal saline (NS) in 8 hours
a. 21 mL/hr b. 100 mL/hr c. 80 mL/hr d. 125 mL/hr
On admission to the hospital, an 81-year-old woman is recognized to be at risk for polypharmacy since she is under the care of multiple care providers in the community
Which of the following components of her extensive medication regimen would constitute the greatest threat to the woman's continence? A) The woman takes a diuretic for treatment of hypertension and over-the-counter antihistamines during allergy season. B) The woman takes an ACE inhibitor and a beta-blocker for the treatment of her hypertension. C) The woman takes prednisone and uses a topical corticosteroid for the treatment of dermatitis. D) The woman is currently taking a broad-spectrum antibiotic for the treatment of a venous ulcer.
The patient is seen complaining of "leaking urine when I sneeze." Which of the following actions should the clinician take first?
a. Order a cystometrogram b. Obtain a computed tomography (CT) scan c. Instruct the patient on Kegel exercises d. Prescribe Imipramine
A nurse educator is preparing a presentation on professional negligence. The nurse determines that all of the following actions would be considered professional negligence except
a. administering the wrong medication. b. failure to obtain informed consent. c. taking a picture of a patient without his or her consent. d. refusing to permit the patient to walk without assistance.