The health care provider has prescribed the following collaborative interventions for a patient who is taking azathioprine (Imuran) for systemic lupus erythematosus. Which order will the nurse question?
a. Draw anti-DNA blood titer.
b. Administer varicella vaccine.
c. Naproxen (Aleve) 200 mg BID.
d. Famotidine (Pepcid) 20 mg daily.
ANS: B
Live virus vaccines, such as varicella, are contraindicated in a patient taking immunosuppressive drugs. The other orders are appropriate for the patient.
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A patient with a ruptured abdominal aortic aneurysm needs to have major surgery. The family asks the nurse what type of anesthesia the patient will receive. The best response is which of the following?
a. Local anesthesia b. Regional anesthesia c. Moderate sedation d. General anesthesia
A home health nurse is evaluating a client who had a colostomy placed 6 weeks ago for the treatment of ulcerative colitis. Which assessment will cause the nurse to conclude that teaching goals for this client have been met?
A) A colostomy pouch that is clean and dry B) Vital signs that reveal a normal temperature C) A stoma that is pink and intact D) The client experiences pain with certain types of food.
A nursing student asks the teacher, "How will health care be defined in the future?" The most appropriate response by the teacher is that "Ultimately, health care will be defined and controlled by:
a. the American Medical Association.". b. those wielding the most political influence.". c. consumer activists groups (e.g., AARP).". d. the National Institutes of Health.".
Before administering a stimulant laxative to a client, which nursing intervention is the priority?
a. Obtain a history of constipation and causes. b. Record baseline vital signs. c. Evaluate renal function. d. Assess fluid and electrolyte balance.