For a client who is having difficulty swallowing tablets and capsules, the nurse should:
A. Administer the medication with less fluid
B. Insert a nasogastric tube and instill the medication
C. Crush the medications and administer with a small amount of food
D. Administer the tablets one at a time with plenty of liquid
C
C. Although not all medications can be crushed, this is best option for a client having difficulty swallowing.
A. Administration of medication with less fluid could make it more difficult for the client to swallow.
B. Insertion of a nasogastric tube requires an order from the provider.
D. A client who is having difficulty swallowing may not be safe swallowing large capsules or tablets even one at a time.
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Silvadene is used in treatment of which skin problem?
a. Herpes simplex lesions b. Hives c. Burns d. Bee stings
Two hours after an epidural infusion has begun, a patient complains of itching on her face and neck. The nurse should:
1. Remove the epidural catheter and apply a Band-Aid to the injection site. 2. Offer the patient a cool cloth and let her know the itching is temporary. 3. Recognize that this is a common side effect, and follow protocol for administration of diphenhydramine (Benadryl). 4. Call the anesthesia care provider to re-dose the epidural catheter.
The nurse is caring for a client in the emergency department who was using alcohol and does not appear intoxicated. What breathalyzer test result would indicate that this person has alcohol dependence?
A) 0.09 g/dL B) 0.3 g/dL C) 0.4 g/dL D) 0.5 g/dL
A 78-year-old nursing home resident with hypertension and cardiac disease is usually alert and oriented. This morning, however, the resident says, "My family visited during the night. They stood by the bed and talked to me."
In reality, the patient's family lives 200 miles away. The nurse should first suspect that the resident: a. may have a cognitive impairment associated with medication effects. b. may be developing Alzheimer‘s disease associated with advanced age. c. had a transient ischemic attack and developed sensory perceptual alterations. d. has a previously unidentified alcohol dependency and is beginning alcohol withdrawal delirium.