A nurse is describing the actions of NSAIDs to a client. Which of the following would the nurse integrate into the description as a mechanism by which NSAIDs elicit their effects? Select all that apply
A) Inhibition of prostaglandins
B) Inhibition of cyclooxygenase-1
C) Synthesis of cyclooxygenase-2
D) Synthesis of cyclooxygenase-3
E) Inhibition of platelet aggregation
Ans: A, B, C
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NSAIDs exert their effects by inhibition of prostaglandin synthesis via inhibition of cyclooxygenase-1 and -2.
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Advances in genetic screening provide information with high levels of certainty about genetic disorders a fetus might have. Which is an ethical implication of these advances?
1. The nurse must participate in actions that are completely contradictory to his personal ethics. 2. The nurse must be aware of his own personal feelings about the actions taken after the screening tests are completed. 3. The nurse must be aware of parent feelings regarding the information available to them. 4. The parents must be aware of the nurse's feelings regarding the information available about the fetus.
Information technology (IT) can be used to increase patient safety. The nurse uses IT in this way by:
a. creating redundancy in orders making them safer. b. removing the need for verification by the nurse. c. analyzing errors to develop prevention strategies. d. eliminating the need for bar codes in medication administration.
The nurse is caring for a patient who is to receive intermittent bolus doses of phenytoin (Dilantin) through the IV line. Which intervention has the highest priority when administering this medication?
a. Check for blood return and compatibility prior to administration. b. Use a new IV tubing set each time the medication is administered. c. Document the date, time, and nurse's initials after each dose is administered. d. Use sterile gloves when drawing up and administering the medication.
A patient's new onset of dysphagia has required insertion of an NG tube for feeding; the nurse has modified the patient's care plan accordingly. What intervention should the nurse include in the patient's plan of care?
A) Confirm placement of the tube prior to each medication administration. B) Have the patient sip cool water to stimulate saliva production. C) Keep the patient in a low Fowler's position when at rest. D) Connect the tube to continuous wall suction when not in use.