A client with jaundice is experiencing uncomfortable itching of the skin. The nurse would anticipate an order to administer
a. acetaminophen (Tylenol).
b. diphenhydramine (Benadryl).
c. oral cholestyramine (Questran).
d. phenobarbital (Luminal).
C
Oral cholestyramine resin provides some relief by binding bile salts in the intestine so that they can be excreted. Antihistamines and phenobarbital (which enhances bile flow) may also relieve itching. Remember that acetaminophen is hepatotoxic.
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A patient is scheduled for a CT scan of the abdomen with contrast. The patient has a baseline creatinine level of 2.3 mg/dL. In preparing this patient for the procedure, the nurse anticipates what orders?
A) Monitor the patient's electrolyte values every hour before the procedure. B) Preprocedure hydration and administration of acetylcysteine C) Hemodialysis immediately prior to the CT scan D) Obtain a creatinine clearance by collecting a 24-hour urine specimen.
The nurse performing the Aldrete scoring system must assess: (Select all that apply.)
a. activity. b. circulation. c. presence of wound drainage. d. level of consciousness. e. O2 saturation.
The nurse administers a medication that potentiates the action of GABA. Which finding would be expected?
a. Reduced anxiety b. Improved memory c. More organized thinking d. Fewer sensory perceptual alterations
The nurse is obtaining a health history from a 24-year-old patient with hypertrophic cardiomyopathy (HC). Which information obtained by the nurse is most important?
a. The patient has a history of a recent upper respiratory infection. b. The patient has a family history of coronary artery disease (CAD). c. The patient reports using cocaine a "couple of times" as a teenager. d. The patient's 29-year-old brother died from a sudden cardiac arrest.