A woman with hypertension is experiencing infertility. After reviewing her medication list, which medication does the nurse advise the woman to discuss with her primary care provider?
A.
Atenolol (Tenormin)
B.
Enalapril (Vasotec)
C.
Isosorbide dinitrate (Isordil)
D.
Methyldopa (Aldomet)
ANS: D
Methyldopa can cause amenorrhea and possibly interfere with fertility. Beta blockers (atenolol) can cause decreased libido, but that would not physically interfere with fertility. Isordil and enalapril do not affect fertility.
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The nurse is providing discharge teaching for a patient with a large carbuncle on the back of the neck
The physician performs surgical incision and drainage under a local anesthetic and prescribes oral antibiotics and daily dressing changes with topical antibiotic ointment. A prescription for acetaminophen with codeine is also provided. Which of the following statements indicates further teaching is necessary? a. "I will need to increase my fluid and fiber intake to prevent constipation while I'm taking the pain medication." b. "Once the swelling and redness are gone, I can stop taking the antibiotics." c. "I should wash the area gently with antibacterial soap before applying a new dressing." d. "Covering my pillow with plastic and cleaning it every day will help prevent additional infection."
The traditional diet of Asian women includes little meat or dairy products and may be low in calcium and iron. The nurse can help a client increase her intake of these foods by:
a. Emphasizing the need for increased milk intake during pregnancy. b. Suggesting she eat more "hot" foods during pregnancy. c. Telling her husband that she must increase her intake of fruits and vegetables for the baby's sake. d. Suggesting she eat more tofu, bok choy, and broccoli.
You are caring for a client who tells you that she has been going to a healer to increase her energy level. She further states, "The healer uses his hands but never touches me"
You recognize that the client is most likely referring to which of the following? a. Yoga c. Acupuncture b. Reiki d. Tai chi
Parents ask a nurse how they should reply when their child, diagnosed with schizophrenia, tells them that voices command him to harm others. Which is the appropriate nursing reply?
A. "Tell him to stop discussing the voices." B. "Ignore what he is saying, while attempting to discover the underlying cause." C. "Focus on the feelings generated by the hallucinations and present reality." D. "Present objective evidence that the voices are not real."