The nurse is providing education to a patient recently prescribed pregabalin (Lyrica). Which statement by the patient indicates a need for further instruction?
a. "I may feel tired at first, but this should improve with continued use."
b. "Once my pain improves, I will stop taking this medication."
c. "Taking sleeping aids will increase the sedative effect of this medication."
d. "This drug may affect my mental alertness, so I need to be careful around machinery."
ANS: B
When discontinuing therapy, taper over at least 1 week to minimize the potential for withdrawal symptoms. Drowsiness tends to disappear with continued use of the medication. Sleeping aids enhance the sedative effects of pregabalin. Pregabalin causes sedation, so people who work around machinery, drive a car, or perform other duties in which they must remain mentally alert should be particularly cautious.
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The nurse is teaching the parent of a preschool child how to administer the child's insulin injection. The child will be receiving 2 units of regular insulin and 12 units of NPH insulin every morning. What should the parent be taught?
a. Draw the insulin in separate syringes. b. Draw the regular insulin first and then the NPH into the same syringe. c. Draw the NPH insulin first and then the regular into the same syringe. d. Check blood sugar first, and if below 120, hold the regular insulin and give the NPH.
Which nursing diagnosis is a priority for a patient with severe symptoms of tinnitus, vertigo, sensorineural hearing deficit, nausea, and vomiting?
1. Disturbed Sensory Perception 2. Imbalanced Nutrition: Less than Body Requirements 3. Ineffective Individual Coping 4. Disturbed Sleep Patterns
A patient who underwent eye surgery is required to wear an eye patch until the scheduled postoperative clinic visit. Which nursing diagnosis will the nurse include in the plan of care?
a. Disturbed body image related to eye trauma and eye patch b. Risk for falls related to temporary decrease in stereoscopic vision c. Ineffective health maintenance related to inability to see surroundings d. Ineffective denial related to inability to admit the impact of the eye injury
LPN/LVN licensure by endorsement in the United States and its territories is possible because
a. English is the spoken language of each locale. b. the NCLEX-PN examination is used by the board of nursing of each locale. c. computer-adaptive testing maximizes testing efficiency. d. the NCLEX-PN examination test plan reflects current practice.