A client is on mechanical ventilation and the client's spouse wonders why ranitidine (Zantac) is needed since the client "only has lung problems." What response by the nurse is best?
a. "It will increase the motility of the gastrointestinal tract."
b. "It will keep the gastrointestinal tract functioning normally."
c. "It will prepare the gastrointestinal tract for enteral feedings."
d. "It will prevent ulcers from the stress of mechanical ventilation."
ANS: D
Stress ulcers occur in many clients who are receiving mechanical ventilation, and often prophylactic medications are used to prevent them. Frequently used medications include antacids, histamine blockers, and proton pump inhibitors. Zantac is a histamine blocking agent.
You might also like to view...
The rate of HIV infection is 6.5 times higher in African Americans than in Whites
Indicate whether the statement is true or false
The final result of the planning process is
a. identifying client goals b. documenting expected outcomes c. reporting nursing interventions d. establishing the nursing plan of care
A nurse asks a patient diagnosed with schizophrenia, "What is meant by the old saying ‘You can't judge a book by looking at the cover.'?" Which response by the patient indicates concrete thinking?
a. "The table of contents tells what a book is about." b. "You can't judge a book by looking at the cover." c. "Things are not always as they first appear." d. "Why are you asking me about books?"
A nurse identifies a patient's nursing diagnosis as "Diarrhea related to stress." Which nursing intervention should be included in the nursing care plan to help the patient relieve the cause of the diarrhea?
a. Monitor and record the frequency of stools on the graphic record b. Administer prescribed antidiarrheal medications as needed c. Encourage the patient to verbalize about stressors and anxiety d. Provide oral fluids on a regular schedule