The client on long-term corticosteroid therapy for rheumatoid arthritis has developed abdominal striae. What is the nurse's best action?
A. Assess the client's skin for the presence of petechiae or any other indication of hemorrhage.
B. Suggest that the client apply cortisone cream to the area.
C. Document the finding as the only action.
D. Notify the physician.
C
Development of abdominal striae is an expected side effect of corticosteroid therapy. It does not reflect internal or external hemorrhage. Although the striae become less prominent over time, no cream or lotion changes their appearance.
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A patient has been prescribed fluoxetine (Prozac) to treat depression. What should be included in the nurse's teaching about the drug? (Select all that apply.)
a. "Do not expect immediate results; it usually takes 2 to 4 weeks for therapeutic effects to be felt." b. "You may experience some nausea, vomiting, and anorexia, but these side effects will subside in time." c. "Take the prescribed dose in the early evening." d. "You need to take this drug only once a week." e. "You should not consume red wine, aged cheese, or other tyramine-rich foods." f. "A decreased interest in sexual activity may occur with this medication."
The nurse is planning the care for a recently delivered premature infant. Which nursing action has the highest priority?
a. Determine the infant's gestational age b. Assess maternal factors that caused the prematurity c. Review the family history for possible genetic problems d. Assess family support systems available
A newborn is placed under a radiant heat warmer. The nurse knows that thermoregulation presents a problem for newborns because:
1. their renal function is not fully developed and heat is lost in the urine. 2. their small body surface area favors heat loss more rapidly than an adult's body surface area. 3. they have a relatively thin layer of subcutaneous fat that provides poor insulation. 4. their normal flexed posture favors heat loss through perspiration.
A type of medication order that a patient takes to a pharmacy to be filled is a(n) ________.
Fill in the blank(s) with the appropriate word(s).