Ketoconazole (Nizoral) is prescribed for an assigned client. The nurse prepares to administer the medication:

1. With food
2. With an antacid
3. With 8 oz of water
4. On an empty stomach


1

Rationale: Ketoconazole (Nizoral) should be administered with food to minimize gastrointestinal irritation. "With an antacid," "with 8 oz of water," and "on an empty stomach" are incorrect. The medication requires acidity and should be administered at least 2 hours apart from an antacid.

Nursing

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Which of the following are interventions used to prevent increased intracranial pressure in a patient who has had an acute brain injury? (Select all that apply.)

a. Keep head of bed elevated 30 degrees. b. Administer stool softeners. c. Encourage deep breathing and coughing. d. Avoid hip flexion. e. Administer opioid analgesics for headache.

Nursing

Nancy is a 31-year-old woman who believes she may be pregnant. She took an over-the-counter pregnancy test 1 week after a missed period that turned positive

During her assessment interview, the nurse inquires about Nancy's LMP and if she is taking any medica-tions. Nancy states that she takes medicine for epilepsy. She has been under much stress lately at work and has not been sleeping well. She also has a history of irregular periods. Nancy's physical exam does not indicate that she is pregnant. Nancy has an ultrasound that reveals she is not pregnant. What is the most likely cause for obtaining false-positive preg-nancy test results? 1. Nancy took the pregnancy test too early. 2. Nancy takes anticonvulsants. 3. Nancy has a fibroid tumor. 4. Nancy has been under much stress and has a hormone imbalance.

Nursing

Different areas of the brain are involved in specific aspects of pain. The reticular and limbic systems in the brain influence the:

1. Sensory aspects of pain 2. Discriminative aspects of pain 3. Motivational aspects of pain 4. Cognitive aspects of pain

Nursing

A nurse is interviewing a client who has a co-occurring diagnosis. The client is trying to explain why it is so easy to start drinking again even though hospitalization and prescribed medications can eventually "control" his mental problems

Which statement by the client would the nurse interpret as reflecting the client's beliefs? A) "It just seems easier and cheaper to go out and get a bottle or a fix than it does to keep paying for medications with money I don't have." B) "If I come out of the hospital and keep taking my prescribed medications, I know I will function better, but I won't be able to escape my feelings or feel high like I do when I drink." C) "I just don't like the side effects my prescribed medications cause, and, besides that, I can never remember to take them at specific times or with food." D) "I don't like to take them because then my spouse expects me to be more responsible and to help around the house more often. I don't have to be bothered with that when I drink or use."

Nursing