A nurse is providing teaching for a patient with osteoporosis who has just switched from alendronate [Fosamax] to zoledronate [Reclast]. Which statement by the patient indicates a need for further teaching?
a. "I will need to have blood tests periodi-cally while taking this drug."
b. "I will only need a dose of this medication every 1 to 2 years."
c. "This drug is less likely to cause osteone-crosis of the jaw."
d. "This drug is only given intravenously."
C
Zoledronate has an increased risk of osteonecrosis of the jaw, as does alendronate. The patient is correct to identify the need for periodic blood tests. Zoledronate is given only every 1 to 2 years and is given only intravenously.
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Which of the following statements best describes Munchausen syndrome by proxy?
a. The child has uncontrollable facial and vocal tics as a result of emotional abuse by caregivers. b. Caregivers make up signs and symptoms of disease or unnecessarily expose their child to harmful medical interventions and painful invasive procedures. c. The parents give the children no attention unless they are exhibiting signs and symptoms of illness. d. Relatives of a child get all the attention in the family and the child is forced to fake illness to get any attention at all.
You hear a nurse telling a patient that he/she will never see his/her family again. This is:
a. Battery b. a tort. c. Verbal abuse d. Neglect
MC A community has had an influx of immigrant workers due to the new construction in the community. The staff of the local public health clinic know the level of their care meets and exceeds standards set and do not see a need to change. The staff could b
A. Cultural competence. B. Cultural blindness. C. Cultural destructiveness. D. Cultural proficiency.
A patient has developed a local infection at an IV insertion site. Before the IV was inserted, the site was cleansed with a product with an ethanol concentration of 70%
The nurse will report the local infection to the provider and expect to receive an order to: a. administer a systemic antimicrobial agent. b. apply a topical antiseptic agent to the infected area. c. culture the site to assess for C. difficile. d. use a topical agent containing 95% ethanol.