A client on the hospice service develops dyspnea related to the disease process. The nurse checks the order sheet for a(n) (Select all that apply)
a. anti-anxiety agent.
b. bronchodilator.
c. corticosteroid.
d. opioid analgesic.
A, B, C
Corticosteroids are often used in the palliative care setting to treat dyspnea. These medications are believed to influence the manifestation of dyspnea by decreasing inflammation in the pul-monary tissue and increasing bronchodilation. Anti-anxiety agents and corticosteroids may also be used, depending on the circumstances. Option d is wrong because it does not specify mor-phine, and opioids other than morphine are not used.
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A health care provider prescribes hydrocortisone (Solu-Cortef) 200 mg IV STAT for a child with acute adrenocortical insufficiency. The medication label states Solu-Cortef 100 mg/2 ml. The nurse prepares to administer one dose
How many milliliters will the nurse prepare to administer one dose? Fill in the blank. Record your answer below in a whole number. ________________
A patient who is HIV-infected takes 800 mg of indinavir (Crixivan), a protease inhibitor medication. The provider has ordered adding ritonavir (Norvir) to the regimen. The nurse will teach the patient that the addition of ritonavir
a. allows decreasing the dosing from 3 times daily to twice daily. b. can lead to increased cholesterol and triglycerides. c. may worsen insulin resistance. d. will require increased dietary restrictions.
The nurse does health teaching with a client who has acquired immune deficiency syndrome (AIDS) and who has been started on antiviral medications. The nurse recognizes that teaching has been effective when the client makes which statement?
1. "I will need to limit my travel to avoid people with other infections." 2. "I will need to be on a high-calorie diet to enhance the effect of the medication." 3. "I will still need to take precautions to avoid spreading the virus to others." 4. "I will not be able to continue working at my high-stress job anymore."
Wearing gloves, the nurse grasps the client's tongue with a gauze pad and palpates a small, firm nodule on the left side of the tongue. Based upon this finding, the nurse should:
a. Document that the client's tongue is normal on palpation. b. Palpate the tongue again without wearing gloves. c. Ask the client to move the tongue in all directions. d. Palpate cervical and submental lymph nodes for enlargement.