The nurse is providing a patient with cholelithiasis the medication ursodiol (Actigall). What should the nurse instruct the patient about this medication?
a. This medication is used prior to having surgery.
b. This medication works best with a high-fat diet.
c. This medication may take a few months to work.
d. This medication makes sure the stones never return.
ANS: C
Dissolution of small non-calcified stones (less than 2 centimeters) with the bile acid drugs ursodiol (Actigall) is used for those who are not surgical candidates. Treatment with the dissolution drugs may take months and stones may return.
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The nurse has been assigned to a caseload of home health clients. Before making home visits, which two planning activities must she perform first?
a. Order supplies for the home care services. b. Review the cases to determine the reasons for the visits. c. Contact the clients to arrange for the visits. d. Develop a schedule for the day so that all visits can be made.
The nurse is planning to address the health disparity in the Native American population. Which should the nurse consider the primary reason for the health disparity?
A. Many Native Americans do not engage in western medicine. B. Many Native Americans do not reside on reservations. C. Many Native Americans do not trust the healthcare system. D. Many Native Americans do not have health insurance.
A client admitted with persistent asthma has a history of hypertension. Which class of asthma drugs must be used cautiously with clients who have hypertension?
1. Inhaled corticosteroids 2. Oral short-acting beta-adrenergic agonists 3. Inhaled anticholinergic medications 4. Mast cell stabilizers
The nurse is conducting a physical examination of a child with a ventricular septal defect. Which finding would the nurse expect to assess?
A) Right ventricular heave B) Holosystolic harsh murmur along the left sternal border C) Fixed split-second heart sound D) Systolic ejection murmur