The nurse is administering ibuprofen (Advil) to an older patient. Which of the following assessment data causes the nurse to hold the medication? (Select all that apply.)
a. Past medical history of gastric ulcer
b. Patient states last bowel movement was 4 days ago
c. Stated allergy to aspirin
d. Patient states has 2/10 intermittent joint pain
e. Patient experienced respiratory depression after administration of an opioid medication
A, C
NSAIDs can cause bleeding, especially in the gastrointestinal (GI) tract; therefore, NSAIDs are most likely contraindicated in this patient. Patients with an allergy to aspirin are sometimes also allergic to other NSAIDs. The nurse needs to verify that the health care provider is aware of the history of GI bleeding and of allergy to aspirin before administering ibuprofen. NSAIDs do not interfere with bowel function and are used for the treatment of mild to moderate acute intermittent pain. NSAIDs also do not suppress the central nervous system.
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A large healthcare organization is interested in learning how another major system in another state handles an ongoing resource utilization issue. Which type of data network should the organization access to learn this information?
A) Clinical data network B) Health information network C) Integrated delivery network D) Health system in another state
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Indicate whether the statement is true or false.
What statement is most accurate about the NCLEX-CAT, RN?
a. It is a certification examination taken by all nurses. b. It is too difficult for most new graduates to pass the first time. c. It is unnecessary in states where institu-tional licensure is the rule. d. It is required of all nurses for licensure.
A client is diagnosed with pneumonia and has been hospitalized for several days. Which nursing diagnosis should the nurse identify as a priority for this client?
1. Altered oral mucous membranes, related to dry mouth 2. Activity intolerance, related to oxygen supply imbalance 3. Knowledge deficit, related to medication regimen 4. Ineffective airway clearance, related to increased secretions