An 80-year-old patient has a history of renal disease and develops a duodenal ulcer. The primary care NP should order a:
a. normal dose of a histamine-2 blocker.
b. decreased dose of a histamine-2 blocker.
c. normal dose of a PPI.
d. decreased dose of a PPI.
C
No adjustment of dosage is necessary for older patients taking PPIs. Patients with a history of renal disease may have decreased elimination of histamine-2 blockers, so the NP should avoid these if possible.
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The physician writes an order for furosemide (Lasix) 120 mg. Each table contains 40 mg. How many tablets would you administer?
1. 3 tablets 2. 4 tablets 3. 3 1/2 tablets 4. 5 tablets
A nurse manager approaches the nursing supervisor with a request for approval to incorporate 12-hour shifts into scheduling. The supervisor denies the request, stating this staffing pattern was used previously with poor outcomes
Which responses by the nurse manager may positively influence the supervisor? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "I agree it was not effective years ago, but other units have now had success with it." 2. "What were your specific concerns about the 12-hour shifts?" 3. "I think it is unfair to refuse my unit this opportunity based on the past." 4. "Why are you always so opposed to change on my unit?" 5. "If we don't offer alternative staffing patterns, we aren't going to be able to attract new hires."
The registered nurse who reads articles in professional journals and attends continuing education workshops is demonstrating which of the following?
a. Organizational accountability c. Standards of care b. Professional accountability d. Legislative accountability
A patient is prescribed demulcents. What patient education should the nurse provide about the proper use and application of these drops? "You should apply the drops
a. sparingly." b. twice daily." c. every 2 hours." d. as often as needed."