A client who was diagnosed with clostridium difficile calls the clinic and says, "I'm still having diarrhea so I started taking an over-the-counter medication to stop it." How should the nurse respond?
1. "Which antidiarrheal are you taking?"
2. "How many doses have you taken?"
3. "Stop taking the medicine and come to the clinic."
4. "Is it stopping your diarrhea?"
Correct Answer: 3
Rationale 1: The identity of the antidiarrheal is not the priority.
Rationale 2: The number of doses taken is not the priority.
Rationale 3: Antidiarrheal use is contraindicated in cases of clostridium difficile.
Rationale 4: The effectiveness of the antidiarrheal is not the priority.
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A nurse has administered a dose of a drug that is known to be highly protein bound. What are the implications of this characteristic?
A) The patient must consume adequate protein in order to achieve a therapeutic effect. B) The molecules of the drug that are bound to protein are inactive. C) Increased levels of serum protein will increase the effect of the drug. D) Each molecule of the drug must bind to a protein molecule to become effective.
A patient is receiving continuous enteral nutrition through a small-bore silicone feeding tube. What should the nurse plan for when this patient has a computed tomography (CT) scan ordered?
a. Shut the feeding off 30 to 60 minutes before the scan. b. Ask the health care provider to reschedule the CT scan. c. Connect the feeding tube to continuous suction during the scan. d. Send the patient to CT scan with oral suction in case of aspiration.
The nurse responding to patients from diverse cultures with interpersonal awareness, knowledge, skill, and sensitivity is known as having:
A. Enculturation. B. Culture care preservation. C. Cultural competence. D. Culture care accommodation.
The nurse anticipates that the following intravenous therapy will most likely be prescribed to rapidly correct hyperkalemia:
a. dextrose 5% in water with regular insulin. b. sodium chloride 0.9% with multivitamin. c. ringers solution with dextrose 5%. d. lactate ringers solution.