A patient has GERD and is taking ranitidine (Zantac). She continues to have gastric discomfort and asks whether she can take an antacid. Which of the following is an appropriate response by the nurse?
A) "Sure, you may take an antacid with ranitidine."
B) "No, the two drugs will work against each other."
C) "Yes, but be sure to wait at least 2 hours to take the antacid after you take the ranitidine."
D) "I wouldn't advise it. You may experience severe constipation."
Ans: C) "Yes, but be sure to wait at least 2 hours to take the antacid after you take the ranitidine."
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The nurse is caring for a gravida 5 in active labor. The membranes spontaneously rupture with a large amount of clear amniotic fluid. Which nursing action is most important to undertake at this time?
1. Assess the odor of the amniotic fluid. 2. Perform Leopold's maneuver. 3. Obtain an order for pain medication. 4. Complete a sterile vaginal exam.
A client's last menstrual period was April 11 . Using Nagele's rule, her estimated date of birth (EDB) would be:
A) January 4 B) January 18 C) January 25 D) February 24
The nurse is assessing a newborn. The parents are present. Which statement by the nurse is most important?
1. "Your infant was born with several reflexes. Some help her eat and protect her. I will show you what they look like." 2. "You will be most successful if you put your baby to breast when her eyes are wide open and she is looking around." 3. "The muscle tone of your baby will increase as she gets older. You'll notice her head lagging less in a few weeks." 4. "The umbilical cord stump will dry up and fall off in about 2 weeks. There might be a spot of blood when it falls off."
A patient admitted to the hospital with a diagnosis of pneumonia asks the nurse, "Why am I receiving codeine? I don't have any pain." The nurse's response is based on the knowledge that codeine also has which effect?
A) Immunostimulant B) Antitussive C) Expectorant D) Immunosuppressant