After the first three dose of Paroxetine (Paxil) 20 mg, the client complains that the medication upsets his stomach. Which of the following instructions would the nurse give to the client?

A) "Take the medication with 4 ounces of orange juice."
B) "Take the medication an hour before breakfast."
C) "Take the medication at bedtime."
D) "Take the medication with some foods.


Ans: D) "Take the medication with some foods.

Nursing

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A patient is taking low-dose corticosteroids on a long-term basis for chronic obstructive pulmonary disease. The nurse assesses this patient knowing prolonged use of corticosteroids puts the patient at risk for what?

A) Adrenal storm B) Adrenal atrophy C) Stunted growth D) Hypothalamic insufficiency

Nursing

Before administering digoxin to a client with valvular disease, the nurse assesses the apical heart rate as 62 beats/minute. The client's usual rate ranges between 66 to 72 beats/minute. Which is the best action for the nurse to take?

A) Hold the digoxin. B) Recheck the apical pulse in 30 minutes. C) Administer the digoxin. D) Notify the physician.

Nursing

The nurse reviewing the records of a female client notes a prescription for high doses of androgen. For which condition should the nurse understand the client is being treated?

A. Cervical cancer B. Breast cancer C. Uterine cancer D. Ovarian cancer

Nursing

A client with borderline personality disorder is having difficulty with memories of sexual abuse. She has a history of suicidal gestures, self-mutilation, sexual addiction, and substance addiction

She complains of vague pains, menstrual problems, and headaches. She entered the partial hospi-tal program to prevent another suicide gesture or self-mutilation. The nurse recognizes that col-laborative therapy may be helpful for this client and knows that the most useful collaboration in this case would be the client, the nurse, and the: 1. Occupational therapist exploring ways to reduce stress 2. Physical therapist exploring ways to reduce back pain 3. Acupuncturist exploring ways to reduce pain 4. Sexologist exploring healthy sexuality and safe sex

Nursing