To evaluate the effectiveness of the pantoprazole (Protonix) ordered for a patient with systemic inflammatory response syndrome (SIRS), which assessment will the nurse perform?
a. Auscultate bowel sounds.
b. Palpate for abdominal pain.
c. Ask the patient about nausea.
d. Check stools for occult blood.
ANS: D
Proton pump inhibitors are given to decrease the risk for stress ulcers in critically ill patients. The other assessments also will be done, but these will not help in determining the effectiveness of the pantoprazole administration.
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A nurse cares for a client with diabetes mellitus who is visually impaired. The client asks, "Can I ask my niece to prefill my syringes and then store them for later use when I need them?" How should the nurse respond?
a. "Yes. Prefilled syringes can be stored for 3 weeks in the refrigerator in a vertical position with the needle pointing up." b. "Yes. Syringes can be filled with insulin and stored for a month in a location that is protected from light." c. "Insulin reacts with plastic, so prefilled syringes are okay, but you will need to use glass syringes." d. "No. Insulin syringes cannot be prefilled and stored for any length of time outside of the container."
A 57-year-old woman with Paget disease is prescribed calcitonin, salmon to help regulate her calcium levels. The nurse will be sure to monitor which of the following?
A) Thyroid levels B) Sodium levels C) Serum alkaline phosphatase D) Daily fluid intake
__________ describes markedly elevated BP accompanied by hemorrhages and exudates in the eyes
Fill in the blank(s) with correct word
Admission assessment reveals these patient findings. The nurse would consider which results as indicating metabolic syndrome education should be provided? Note: Credit will be given only if all correct choices and no incorrect choices are
selected. Select all that apply. 1. Female gender, waist circumference of 78.5 cm 2. Swelling of thighs and lower extremities 3. Blood pressure 166/84 4. Triglyceride levels 325 mg/dL 5. Fasting glucose of 110 mg/dL