A client who is taking warfarin (Coumadin) requests an aspirin for headache relief. What is the nurse's best response?
a. Administer 650 mg of acetylsalicylic acid (ASA) and reassess pain in 30 minutes.
b. Teach the client of potential drug interactions with anticoagulants.
c. Explain to the client that ASA is contraindicated and administer ibuprofen as ordered.
d. Explain that the headache is an expected side effect and will subside shortly.
Answer: b. Teach the client of potential drug interactions with anticoagulants.
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What is the best indicator that the client is experiencing menopause?
1. No menses for eight consecutive months 2. Hot flashes and night sweats 3. High serum FSH with low serum estrogen 4. Diagnosed with osteoporosis four months ago
The pharmacology instructor is explaining interleukins to the class. What would be the best definition of interleukins?
A) They are substances naturally produced and released by human cells that have been invaded by viruses. B) They block the inflammatory reaction and decrease initial damage to cells. C) They are chemicals used to communicate between leukocytes and stimulate immunity. D) They attach to specific receptor sites and respond to very specific situations.
Using the WHO pain ladder, the nursing plan of care for a patient with chronic lower back pain should include which strategy?
A) Start with the first step and advance slowly up the ladder. B) Treat breakthrough pain with a long-acting analgesic. C) Administer an opioid and then slowly move back down the ladder. D) Aim for complete pain control as the goal of therapy.
A nurse is caring for a patient on bedrest who repeatedly attempts to get out of bed without assistance. The most therapeutic response by the nurse is:
1. "Why do you keep trying to get out of bed?" 2. "Would you like me to give you a back rub?" 3. "I need for you to behave and stop trying to get out of bed." 4. "If you don't stop trying to get up, I will have to restrain you."