A client is admitted for a total hip replacement. Past medical history includes diabetes mellitus type 2, a heart attack 5 years ago, and allergies to sulfa drugs. The client currently takes insulin on a sliding scale and celecoxib (Celebrex)
Before administering the client's medications, which action by the nurse is most appropriate? a. Take the client's blood pressure in both arms.
b. Call the physician to clarify the orders.
c. Schedule a preoperative electrocardio-gram.
d. Review the client's laboratory values.
B
Celebrex is a cyclooxygenase (COX)-2 inhibitor. These drugs are thought to cause serious ad-verse reactions such as myocardial infarction and renal problems. This client already has coronary artery disease and a past myocardial infarction, so the nurse should discuss the order with the physician before giving the medication. Reviewing laboratory results could indicate renal impairment, but taking the client's blood pressure and scheduling an electrocardiogram (ECG) would not take priority over discussion with the physician.
You might also like to view...
The nurse is working with a 15-year-old girl and her parents on a treatment plan for her diagnosis of attention-deficit/hyperactivity disorder (ADHD). The nurse should be sure to:
a. Encourage the parents to seek teachers for their daughter who are going to be lenient with assignment schedules because of her diagnosis. b. Remind the parents to determine ahead of time consequences/punishment that they will give their daughter when she is not listening to them and/or teachers. c. Teach the parents how to structure and enforce limits on their daughter's behavior that are appropriate to her condition. d. Inform the client and her parents that medications typically used for ADHD are very safe and have few side effects.
A client is admitted to the health center with chronic diarrhea. When should the nurse begin imparting health teaching about mitigating the effects of this problem?
A) When admitting the client B) When providing treatment C) When discharging the client D) When the client requests information
Your patient with pancreatitis has a Ranson rule score of 8. The clinician should recognize that this is a risk of:
A. Pleural involvement B. Alcoholism C. High mortality D. Bile duct obstruction
What is the hospitalized patient's place in evidence-based practice? (Select all that apply.)
a. The patient is the recipient of the total of formal research evidence and the nurse's practice wisdom, and these represent the patient's care plan. b. The patient brings values to the clinical encounter, which the nurse considers in providing evidence-based care. c. The patient provides a valuable source of knowledge, since each patient cared for contributes to the nurse's total practice wisdom. d. The patient is the focus of research. The patient serves both as a recipient of evidence-based research and the subject of future evidence, based on data collected now from the patient. e. The patient may always refuse to participate—in evidence-based care, in therapies, in research participation—and this refusal must be honored.