The nurse admits a patient who reports having taken a proton pump inhibitor for more than a decade. What assessment question will the nurse ask this patient?
A) "Are you experiencing diarrhea?"
B) "Do you experience much abdominal pain?"
C) "Have you noticed any blood in your urine?"
D) "When is the last time you checked your blood pressure?"
A
Feedback:
Research indicates that patients taking proton pump inhibitors or histamine-2 antagonists demonstrate a significant increase in cases of Clostridium difficile infections leading to diarrhea so the nurse should assess this patient for diarrhea. There would be no indications to ask about abdominal pain, blood in the urine, or blood pressure.
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An adolescent is diagnosed with cellulitis from picking the scabs on healing facial pimples. The mother scolds the child for eating too many oily foods that cause the acne
Based on this data, which topic is priority when providing education to the child and mother? A) Antibiotics are the best way to prevent cellulitis. B) Oily foods do not cause pimples or cellulitis. C) Consumption of oily foods poses an increased risk for cellulitis. D) Popping the pimples spreads the germs over the face.
A hospitalized adult client with a history of type 1 diabetes uses the call light system to tell the nurse, "I need a glass of orange juice with a packet of sugar in it right away." The nurse should:
a. immediately take the orange juice to the client as requested. b. ask the nursing assistant to check the client's blood glucose level. c. notify the health care provider of the client's request. d. take the client a 12-ounce can of diet soda.
A client newly diagnosed with type 2 diabetes mellitus asks the nurse to explain, "what the di-agnosis means."
Which of the following rationales best supports the nurse's determination that the client has knowledge deficit rather than a readiness for enhanced knowledge? 1. The client initiated the question. 2. This is a new diagnosis for the client. 3. The client identified a lack of understanding. 4. Type 2 diabetes mellitus is a complicated disease process.
The administration of gentamicin with general anesthetics increases the risk of:
1. hepatotoxicity. 2. neuromuscular blockade. 3. nephrotoxicity. 4. ototoxicity.