The nurse is preparing to teach a patient about oxybate (Xyrem) for the treatment of narcolepsy. Which precaution does the nurse stress?
a. "Avoid drinking alcohol while taking this drug."
b. "Be sure to take this drug with food or milk."
c. "Report constipation to your prescriber."
d. "Use mints to prevent dry mouth."
A
Sodium oxybate (Xyrem) works by increasing sedation to ensure a good night sleep and pre-venting daytime sleepiness. A side effect this drug may cause is sleep-walking without any memory of the event. It should never be taken with alcohol because this will dramatically in-crease the CNS effects.
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A common drug used for the treatment of TB is isoniazid. A side effect the LPN needs to be alert for is
a. Liver toxicity—dark urine, yellow skin, light gray stools b. Reddish orange body fluids c. Shortness of breath d. Color blindness, specifically red-green
While caring for a client with severe aortic stenosis, the nurse understands that limited activity is essential to prevent fatigue. Which of the following instructions is (are) appropriate? Select all that apply
1. Discontinue activity if chest pain or shortness of breath occurs. 2. Explore sedentary activities. 3. Maintain balanced nutrition to ensure adequate caloric intake. 4. Administer humidified oxygen as prescribed. 5. Follow a progressive activity schedule that increases activity level by 10% each week.
After 3 days, nurse receives results from Raymond's TB skin test that was administered at his HCP's office. Even though Raymond's reaction to the TB test measures only 5mm in diameter, the HCP documents a positive test result. A new graduate nurse finds this confusing. New grad thought that a 10mm induration was the minimum size for a positive reading and asks the nurse preceptor for clarification. How should the nurse preceptor respond?
A. "This confuses me too. I think we need to consult with the HCP" B. "That is not always true. A 5mm induration is considered positive for TB in a person with HIV" C. "It may be that you are confusing induration with inflammation in skin testing results" D. "Let's ask the nurse practitioner who specializes in caring for clients who are HIV positive"
L.W. declines an examination and says she needs to "think about all this." She does make an
appointment to return in 1 week. What teaching do you need to provide L.W. about how to care for herself in the meantime? How will you respond? What will be an ideal response?