A patient with strep throat asks the nurse why he has to take antibiotics. Which of the following statements would the nurse include in the teaching?
a. "Antibiotics help prevent complications like rheumatic fever."
b. "Strep throat causes high fevers that can cause neurological damage."
c. "Antibiotics help reduce difficulty swallowing."
d. "Antibiotics will help you get well sooner."
____
ANS: A
If strep throat is not treated with antibiotics, it can lead to rheumatic fever, glomerulonephritis, or other serious complications. High fevers with neurological damage would be very rare. Antibiotics may indirectly reduce difficulty swallowing, but that is not the reason they are ordered. It is possible that a patient may get well sooner with antibiotics, but that is not the reason they are ordered.
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Ethical decision making is
a. Beyond the legal scope of the practical nurse b. The use of personal values and beliefs to solve problems c. Unnecessary if there are comprehensive physician orders d. Governed by the law
To prevent a common risk among older adults who are prescribed proton pump inhibitors, which safety precaution should you recommend?
a. "Be sure to take a daily multivitamin." b. "Use handrails when going up or down stairs." c. "Take this drug with food or a full glass of fluid." d. "Notify your prescriber if you develop belching or gas."
A client arrives at the clinic shaky and requesting a refill on a prescription for alprazolam (Xanax). The nurse suspects that the client might be experiencing substance withdrawal. Which comment by the client would most tend to confirm your suspicion?
A) "Lately I've had to double up on my dose just for it to be effective." B) "I ran out of pills a week ago and have felt sweaty and agitated ever since." C) "I feel like I just can't function without the medicine." D) "The medicine has been wonderful. I think one more refill should do it for me."
When caring for patients with musculoskeletal disorders, attend to their ________ needs. Be calm and reassuring. Help patients "talk out" the depression and frustration that may come with constant pain.
Fill in the blank(s) with the appropriate word(s).