A client is ordered to receive adrenocorticotropic hormone (ACTH) for multiple sclerosis. Which nursing intervention would be most appropriate to protect this client from the side effects of this medication?
a. Implement infection control measures.
b. Administer antiemetics as needed.
c. Give laxatives daily and as needed.
d. Administer acetaminophen q4h.
ANS: A
ACTH may cause immunosuppression, which would warrant protective isolation.
You might also like to view...
The main artery in the abdominal cavity is the:
A) Aorta. B) Femoral artery. C) Umbilical artery. D) Superior vena cava.
A patient newly diagnosed with type 2 diabetes who is prescribed rosiglitazone (Avandia) has all the following health problems. For which problem does the nurse check with the prescriber to make certain rosiglitazone is an appropriate drug choice?
a. Severe asthma for the last 3 years b. Myocardial infarction 1 year ago c. Uncontrolled hypertension d. Glaucoma
A community/public health nurse is visiting a family for the first time. Which of the following should be the priority action for the nurse?
a. Assessing how the family is adjusting to the illness of the sick family member b. Clarifying what insurance or third-party payer is reimbursing this care c. Determining the problem or reason for the referral d. Establishing a relationship with the family
Long-term care patients often may bring pieces of their own furniture with them
True False