A client is prescribed a magnesium and aluminum hydroxide antacid to treat gastroesophageal reflux disease (GERD). The nurse cautions this client to do which of the following?
A) Take it at the same time as other prescribed drugs.
B) Limit the frequency of use to two times per day.
C) Watch for possible antacid-related diarrhea.
D) Report any complaints of sore throat or fever to the physician.
C
Feedback:
Antacids containing magnesium and aluminum hydroxides tend to cause diarrhea in some clients. In such cases, switching to an aluminum-only antacid or calcium-containing antacid may be helpful. Antacids may be given two to four times per day or as frequently as every 1 to 2 hours. They are not administered within 1 hour of histamine2-receptor antagonists or other oral medications because they may decrease absorption of the other drug. Sore throat and fever are adverse effects associated with histamine2-receptor antagonists, not antacids, which need to be reported.
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The nurse is planning to teach a client and family about care for the client who experienced a cerebral vascular accident (CVA). About which safety issues should the nurse instruct the client and family?
1. Safety during meals 2. Safety while the client is driving 3. Providing seizure precautions 4. Providing glasses for impaired vision
You are participating as a speaker in a public workshop on the topic of promoting mental health in young and middle-aged adults. You tell the audience that age, unemployment, and lower education are risk factors associated with mental illness
A woman raises her hand and asks, "Does that mean because I only have a 10th grade education and am unemployed that I will develop a mental illness?" Your best response to the woman's question would be: A) "Not necessarily, it just means that there is an increased chance that you might." B) "Of course not, we live in a rural small town, and these statistics are primarily based on people who live in large cities." C) "Yes, I am afraid so; however, with early detection we can prevent the mental illness from worsening." D) "It probably does, but we have developed advanced medications that successfully treat mental illness."
If nursing intervention strategies are focused on the structural dimension, they are directed to:
1. Health services 2. Primary prevention 3. Health promotion 4. Secondary prevention
A psychiatric–mental health participates frequently in the administration of medications. Which of the following statements best describes an aspect of the nurse's role in medication administration?
A) Arrange for a physician to teach the client about the effect of medication, side effects, and need for adherence. B) Monitor the effectiveness, associated side effects, and potential health concern associated with medications. C) Refrain from administering medications to clients who are disoriented or confused. D) Suggest alternative medications to a physician when one medication is proving to be ineffective.