The nurse is caring for an older client with gastroenteritis. Which order does the nurse consult with the health care provider about?
a. IV 0.45% NS at 50 mL/hr
b. Clear liquids as tolerated
c. Diphenoxylate hydrochloride/atropine sulfate (Lomotil) orally, after each loose stool
d. Acetaminophen (Tylenol), 325-650 mg orally every 4 hr PRN pain
C
Lomotil can cause drowsiness and can increase the older client's risk for falls. The nurse should consult with the provider to see if this medication is really necessary and, if an antidiarrheal me-dication is warranted, what other options might be available. The other orders are appropriate, although the nurse would have to monitor the client's total 24-hour Tylenol dosage to ensure that the client did not receive more than 4000 mg/24 hr.
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A. "Who is it? Another neighbor?" B. "I have some time. Tell me a little about this friend." C. "Who else knows? Has this friend told anyone else?" D. "Your friend needs help right away!"
The nurse understands that an indication for the use of asparaginase (Elspar) is:
1. Lung cancer 2. Breast cancer 3. Metastatic prostate cancer 4. Acute lymphocytic leukemia
The nurse is reviewing ways to obtain data for a client's sexual history. Which method should the nurse recognize would provide the most sensitivity?
A. Telephone. B. Paper. C. In-person. D. Online questionnaire.
An older patient talks about being given preparations as a child that were considered patent medications. The nurse recalls these medications included which items? Select all that apply:
1. Alcohol 2. Opium 3. Cocaine 4. Aspirin