During the administration of finasteride (Proscar), the nurse must remember which important precaution?
a. It must be taken on an empty stomach.
b. It must not be handled by pregnant women.
c. It is given by deep intramuscular injection to avoid tissue irritation.
d. The patient needs to be warned that alopecia is a common adverse effect.
ANS: B
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The primiparous client at 39 weeks' gestation calls the clinic and reports increased bladder pressure but easier breathing and irregular, mild contractions. She also states that she just cleaned the entire house
Which statement should the nurse make? 1. "You shouldn't work so much at this point in pregnancy." 2. "What you are describing is not commonly experienced in the last weeks." 3. "Your body may be telling you it is going into labor soon." 4. "If the bladder pressure continues, come in to the clinic tomorrow."
It is suspected that a patient who sustained multiple traumas is developing cardiac tamponade. Which nursing assessment finding would help to support this tentative diagnosis?
1. Flat neck veins despite fluid resuscitation 2. Persistent hypotension 3. Atrial fibrillation per cardiac monitor 4. Bilateral basilar crackles
During an in-service presentation, the presenter stresses the importance of accurate and thorough documentation for which reason?
A) Guarantee a continual assessment process. B) Identify abnormal data. C) Assure valid conclusions from analyzed data. D) Allow for drawing inferences and identifying problems.
The night shift nurse sees a patient with kidney failure sitting up in the bed. The patient states, "I feel a little short of breath at night or when I get up to walk to the bathroom." What assessment does the nurse do?
a. Check for orthostatic hypotension because of potential volume depletion b. Auscultate the lungs for crackles, which indicate fluid overload. c. Check the pulse and blood pressure for possible decreased cardiac output d. Assess for normal sleep pattern and need for PRN sedative