A nurse is caring for an 81-year-old patient in a long-term care facility who takes nine different medications each day
The patient has a recent diagnosis of seizure disorder and has begun treatment with phenytoin (Dilantin), a highly protein-bound drug. After 1 month of Dilantin therapy, the patient is still extremely drowsy and sluggish. The nurse determines that the prolonged adverse effect is likely due to
A) an increase in creatinine to be filtered.
B) polypharmacy decreasing the number of available protein-binding sites.
C) increased efficiency of the blood–brain barrier.
D) the normally low protein-binding properties of Dilantin.
B
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A nurse is assessing a client who is recovering from a lung biopsy. Which assessment finding requires immediate action?
a. Increased temperature b. Absent breath sounds c. Productive cough d. Incisional discomfort
A client scheduled for a percutaneous transhepatic cholangiography (PTC) denies allergies to medication. What action by the nurse is best?
a. Ask the client about shellfish allergies. b. Document this information on the chart. c. Ensure that the client has a ride home. d. Instruct the client on bowel preparation.
Your client is a 33-year-old newly married woman who was a virgin prior to marriage. She discovers that she finds sexual intercourse disgusting
She was raised by her father, who was very strict. Which of the following nursing diagnoses would be most appropriate? 1. Ineffective sexuality patterns 2. Sexual dysfunction 3. Ineffective individual coping 4. Hopelessness
The depressed client is deciding which type of treatment would be beneficial for him. The nurse would document that the patient is utilizing which of the following ethical principles in this situation?
A) Justice B) Beneficence C) Autonomy D) Veracity