A primary care NP has prescribed phentermine for a patient who is obese. The patient loses 10 lb in the first month but reports that the drug does not seem to be suppressing appetite as much as before. The NP should:
a. discontinue the phentermine.
b. increase the dose of phentermine.
c. continue the phentermine at the same dose.
d. change to a combination of phentermine and topiramate.
A
Tolerance to the effects of phentermine usually develops within a few weeks of starting therapy. When this occurs, the drug should be discontinued, not increased. Phentermine use is not recommended longer than a few weeks.
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A rural hospital administrator is resistant to creating a telehealth system because of its impact on finances. What response by the director of nursing, who thinks a system should be started as soon as possible, would be best?
a. Inform the administrator of research findings related to telehealth. b. Lobby federal lawmakers to require third-party funding for telehealth costs. c. Work with the administrator to find ways to make up the revenue shortfall. d. Write grants for funding to offset the costs of starting a telehealth system.
Which client is at greatest risk of developing a damaged self-concept during a period of increased stress?
A) a single mother with a supportive family B) a married female with a large network of friends C) an older adult female who is newly widowed D) a teenager who is active in his church
The nurse is teaching a client on the use of a cane. What should the nurse include in this teaching?
1. Hold the cane on the weaker side of the body. 2. Move the cane forward while the body weight is between both legs. 3. The length of the cane should permit the elbow to be fully extended. 4. Move the weaker leg forward while the weight is between the cane and the stronger leg. 5. Move the stronger leg forward while the weight is between the cane and the weaker leg.
During the admission process, the patient states that he stopped taking daily aspirin because of nausea. The nurse documents the nausea as which of the following?
a. Noncompliance b. Toxic effects of the medication c. Side effects of the medication d. Allergic reaction to the medication