A nurse is instructing a client with chronic pain about two new prescriptions: ibuprofen (Advil) and misoprostol (Cytotec). The client is asking about why the misoprostol (Cytotec) was added. Which is the nurse's best response?
1. Ibuprofen (Advil) is toxic and misoprostol (Cytotec) will reduce the toxicity.
2. Misoprostol (Cytotec) will create a protective mucous to decrease irritation from the ibuprofen (Advil).
3. Ibuprofen (Advil) has inflammatory properties that misoprostol (Cytotec) will decrease.
4. Misoprostol (Cytotec) will stimulate gastric production to assist digestion of ibuprofen (Advil).
2
Rationale 1:Ibuprofen has anti-inflammatory properties and is not toxic.
Rationale 2:Misoprostol inhibits gastric acid secretion and stimulates the production of protective mucous.
Rationale 3:Ibuprofen has anti-inflammatory properties and misoprostol will not decrease the properties.
Rationale 4:Misoprostol inhibits gastric acid secretion and stimulates the production of protective mucous.
Global Rationale: Misoprostol (Cytotec) is a prostaglandin-like substance that inhibits gastric acid secretion and stimulates the production of protective mucus. Its primary use is for the prevention of peptic ulcers in patients taking high doses of NSAIDs.
You might also like to view...
One hour after the administration of Zofran to a patient with nausea and vomiting, the nurse determines that the medication has been effective and documents this in the patient's record. This phase of the nursing process is termed:
A) Analysis B) Evaluation C) Assessment D) Data collection
The nurse is told that a patient with disorganized schizophrenia is being admitted to the unit. The nurse should expect the patient to demonstrate:
a. highly suspicious, delusional behavior. b. extremes of motor activity and excitement to stupor. c. social withdrawal and ineffective communication. d. severe anxiety and ritualistic behavior.
Two RNs are in disagreement over the team assignment for the shift that is about to begin. You are the charge nurse. What is your best first step to collaboratively resolving the conflict?
a. Determine the shared goal. b. Open a respectful dialogue to bring forth each point of view. c. Design a plan to meet the shared goal. d. Determine the roles of those involved in the plan.
The daughter of a resident in a long-term care facility is frustrated with her 80-year-old mother's refusal to eat. Which response would be the most appropriate?
a. The refusal to eat is an effort to maintain a portion of independence and self-direction. b. The refusal to eat is an indication of approaching Alzheimer disease. c. The refusal to eat is an effort to gain attention. d. The refusal to eat is an indication of the dislike of the institutional food.