A patient comes to the clinic complaining of low back pain unrelieved by NSAIDs. The patient has a history of angle-closure glaucoma and renal disease. The primary care NP should prescribe:
a. tizanidine (Zanaflex).
b. metaxalone (Skelaxin).
c. acetaminophen (Tylenol).
d. cyclobenzaprine (Flexeril).
B
Metaxalone may be taken by patients with angle-closure glaucoma and is metabolized by the liver, so it is safe for this patient. Tizanidine should not be given to patients with renal disease because clearance may be reduced by more than 50%. After using NSAIDs with no relief, recommendations are to change to a muscle relaxant. Cyclobenzaprine is not recommended in patients with glaucoma.
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Which statement should a nurse identify as correct regarding a client's right to refuse treatment?
1. Clients can refuse pharmacological but not psychological treatment. 2. Clients can refuse any treatment at any time. 3. Clients can refuse only electroconvulsive therapy (ECT). 4. Professionals can override treatment refusal by an actively suicidal or homicidal client.
A client is prescribed an anticoagulant. In which of the following situations would the nurse hold the drug and notify the physician? Select all that apply
A) PT exceeds 1.5 times the control value. B) PT is less than 1.5 times the control value. C) There is evidence of bleeding. D) INR is less than 3.0. E) INR is greater than 3.0.
How many kilocalories per kilogram (kcal/kg) of body weight does a full-term formula-fed infant need each day?
a. 50 to 75 b. 100 to 110 c. 120 to 140 d. 150 to 200
A client with hyperuricemia is treated with 200 mg of allopurinol four times a day. When evaluating the effectiveness of client's therapy, the nurse assesses for:
a. hemoglobin less than 6 g/dL. c. creatinine level of 0.8 mg/dL. b. hematocrit of 45%. d. uric acid level of 6 mg/dL.