A client is bleeding from esophageal varices. The health care provider is arranging sclerotherapy for the client. Before the client goes to interventional radiology, the nurse prepares to administer which medication?
a. Terlipressin (Glypressin)
b. Enoxaparin (Lovenox)
c. Lactulose (Heptalac)
d. Spironolactone (Aldactone)
A
Terlipressin is a vasoactive drug that works by reducing portal pressure, which decreases bleed-ing. These drugs are often given in conjunction with sclerotherapies. Enoxaparin is a low-molecular-weight heparin, which would be contraindicated in a client with bleeding prob-lems. Lactulose helps rid the body of ammonia. Aldactone is a diuretic.
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A client is receiving interleukins along with chemotherapy. What assessment by the nurse takes priority?
a. Blood pressure b. Lung assessment c. Oral mucous membranes d. Skin integrity
The nurse works in a school clinic that is part of an integrated health care network. How would this nurse explain to parents and teachers the focus of care provided in the clinic?
1. Hospital focused 2. Primary care focused 3. Specialty care focused 4. Home care focused
The nurse is developing a nursing diagnosis for a client who has pneumonia. The nurse recognizes that the diagnosis describes an actual or potential problem that:
1. relates to the client's primary diagnosis. 2. the nurse can treat independently. 3. the nurse can treat with a physician's order. 4. requires a physician's intervention.
How should the nurse respond to a parent who asks, "How can I protect my baby from whooping cough?"
a. "Don't worry; your baby will have maternal immunity to pertussis that will last until they are approximately 18 months old." b. "Make sure your child gets the pertussis vaccine." c. "See the doctor when the baby gets a respiratory infection." d. "Have your pediatrician prescribe erythromycin."