An NP learns that a 90-year-old patient is chronically constipated and has frequent problems with acid reflux. The NP notes a weight loss of 20 pounds in this patient in the previous 6 months
Which of the following drugs that this patient is taking is cause for concern? a. Quinidine
b. Naproxen
c. Calcium citrate
d. Calcium channel blocker
B
Naproxen has a high binding affinity for protein, and these drugs can become toxic in patients who may have low serum albumin because of the amount of free drug in serum. Constipation and acid reflux may cause problems with absorption for some drugs, but not the drugs listed.
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A nurse who works on a subacute medical unit of a hospital is discussing the increasing population of older adults on the unit with a colleague. Which of the colleague's following statements about older adults is most accurate?
A) "Fortunately, Social Security ensures a sufficient level of income for people over 65.". B) "It helps that older people don't have to directly incur any costs for their medical care.". C) "Most of the older clients on the unit will have come to us from nursing homes.". D) "It's reassuring that people are starting to show more concern for older adults than in decades past.".
The clinic nurse recognizes that a pregnant adolescent must successfully complete developmental tasks to be an effective mother. These developmental tasks include:
Select all answers that apply: A) Accepting this pregnancy and telling her parents/friends B) Setting reasonable goals for herself C) Seeing herself as a mother D) Maintaining her freedom
The nurse is examining the eyes of a newborn infant. If the nurse notes the absence of the red reflex, what is the next best action?
a. Notify the physician. b. Document the finding in the records. c. Recheck the reflex after several hours. d. Monitor the eye movements and pupil reactions closely.
A client recently diagnosed with ovarian cancer is concerned about alopecia while taking cyclophosphamide (Cytoxan). Which response by the client reflects understanding of the teaching of cyclophosphamide (Cytoxan)?
1. "I don't need to worry about losing my hair." 2. "My hair will probably grow back." 3. "I will never have hair again." 4. "Wigs only exacerbate the alopecia."