A patient tells the clinic nurse that he or she has been taking over-the-counter (OTC) Pepcid to relieve acid indigestion for several years. This is the first time the patient has ever reported this issue to a health care provider
As part of the teaching plan for this patient, the nurse explains what risk associated with not sharing OTC drug use with the provider? A) The OTC drug could be more expensive than seeking health care advice.
B) The drug could mask symptoms of a serious problem that is undiagnosed.
C) Use of the drug could cause a rebound effect of Pepcid.
D) The drug could interact with several cold medicines.
D
Feedback:
OTC drugs allow patients to self-diagnose and treat routine signs and symptoms without seeing a health care provider. This self-prescribed treatment, however, could mask a more serious underlying medical problem and result in a poor outcome for the patient. The issues of drug rebound and drug interaction need to be considered, but the safety issue related to self-diagnosis and self-prescription presents the greatest risk to the patient. Patients should always be encouraged to discuss the use of OTC products with their health care provider.
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A nurse enters a client's room and finds that the client is lying on the floor. The nurse makes the client comfortable on the bed and completes an assessment
The nurse then informs the physician and the nursing supervisor about this incident and also completes an incident report. Which of the following actions by the nurse indicates correct knowledge of handling an incident report? A) Documents a complete description of the happenings in the client's records B) Makes a copy of the incident report and places it in the client's records C) Makes a copy of the incident report to give to the physician D) Mentions in the client's report that an incident report was completed
All-hazard preparedness plan drills should occur at least:
a. annually. b. biannually. c. monthly. d. quarterly.
The nurse is working with a paramedic who just finished assisting at the scene of a school shooting where several students were killed. Which statement by the nurse is most therapeutic?
a. "Would you like to talk about what hap-pened?" b. "Surely the department will give you the day off tomorrow." c. "At least the gunman was taken into cus-tody." d. "Let's just sit here for a while quietly."
Whistleblowing in health care occurs when an individual "blows the whistle" and reports an unsafe situation. Some suggestions for nurses who may choose to be whistleblowers in health care-related situations are listed below
Which is not necessarily correct? a. Avoid being confrontational when discussing the issue with management; exhaust all internal remedies before taking matters out of house. b. Consider reporting your concerns about quality of care to the Institute of Medicine or Robert Wood Johnson Foundation. c. Keep a personal diary of events after the incident is reported. d. Document the incident and keep a copy for yourself; send a typed complaint to the Di-rector of Nursing or anyone in another de-partment with a stake in the case.