Antiinflammatory analgesics should be used with caution by patients with which of the following conditions? (Select all that apply.)
a. Liver disease
b. Transient ischemic attacks (TIAs)
c. Headaches
d. Weight loss
e. Heart disease
ANS: A, B
Antiinflammatory analgesics should not be used in patients with hepatic disease and with symptoms of TIAs.
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The client with a head injury has multiple nursing needs. To promote venous drainage and alleviate pressure, the nurse should:
A) encourage the client to cough. B) elevate the head of the bed 30 degrees. C) use oxygen at 2 L/min. D) monitor the temperature every 15 minutes.
Which action could the registered nurse (RN) who is working in the eye and ear clinic delegate to a licensed practical/vocational nurse (LPN/LVN)?
a. Evaluate a patient's ability to administer eye drops. b. Use a Snellen chart to check a patient's visual acuity. c. Teach a patient with otosclerosis about use of sodium fluoride and vitamin D. d. Check the patient's external ear for signs of irritation caused by a hearing aid.
A patient who is receiving positive pressure ventilation is scheduled for a spontaneous breathing trial (SBT). Which finding by the nurse is most important to discuss with the health care provider before starting the SBT?
a. New ST segment elevation is noted on the cardiac monitor. b. Enteral feedings are being given through an orogastric tube. c. Scattered rhonchi are heard when auscultating breath sounds. d. HYDROmorphone (Dilaudid) is being used to treat postoperative pain.
The patient takes several prescription medications and asks the nurse about using complementary and alternative medicine. What is the best reply by the nurse?
1. "Complementary and alternative medicine (CAM) is a good idea that you should discuss with your doctor." 2. "Complementary and alternative medicine (CAM) is an approach that might reduce your need for medications." 3. "Complementary and alternative medicine (CAM) might help, but you will still need your medications." 4. "Complementary and alternative medicine (CAM) has not been demonstrated to help with your kind of symptoms."