An older patient prescribed an oral time-released pain medication is having difficulty swallowing the dose. What should the nurse do to help this patient?
1. Teach the patient to chew the medication.
2. Give the same medication through a parenteral route.
3. Consult with the physician to have the medication route changed.
4. Contact the pharmacy to have the oral route changed to transdermal.
3
Rationale: A time-released medication cannot be chewed because it destroys the controlled-release properties and causes rapid absorption of the entire dose, resulting in a possible overdose.
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During a home visit, the nurse is concerned that an older client is at risk for nutritional health problems. Which data collected during the home visit caused the nurse to come to this conclusion?
Select all that apply. A) Client's spouse recently died. B) Client prepared a stew on the weekend and has been eating it for 4 days. C) Client's adult children arrive to eat dinner together several times a week. D) Client is prescribed 15 medications. E) Client's Social Security payments have gone down over the last year.
The client's nursing diagnosis is disturbed sleep pattern related to anxiety. The desired outcome is
that client will sleep for a minimum of 5 hours nightly by October 31 . On November 1 review of sleep data for the 6 days of hospitalization shows the client sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap. The outcome can be evaluated as a. consistently demonstrated. b. often demonstrated. c. sometimes demonstrated. d. never demonstrated.
Childbirth preparation offers several advantages including which of the following? Note: Credit will be given only for all correct choices and no incorrect choices. Select all that apply
1. It helps a pregnant woman and her support person understand the choices in the birth setting. 2. It promotes awareness of available options. 3. It provides tools for a pregnant woman and her support person to use during labor and birth. 4. Women who receive continuous support during labor require more analgesia, and have more cesarean and instrument births. 5. Each method has been shown to shorten labor.
A 45 year-old female comes to the hospital complaining of weakness, and GI bleeding after a liver transplant. You suspect a tissue rejection. Which immune system disturbance is suspected?
a. Alloimmune disorder b. Autoimmune disorder c. Allergy to self antigens d. IgE mediated immunity