A client is diagnosed with multiple sclerosis and is to receive home care. The home care nurse is aware that some drugs are contraindicated with this disease, including:
a. histamine2 blockers.
b. calcium channel blockers.
c. adrenocorticotropic hormone (ACTH).
d. glucocorticoids.
ANS: A
Histamine2 blockers are contraindicated for the client who has multiple sclerosis.
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The health care facility is implementing a new evidence-based nursing protocol. What is necessary to ensure successful implementation?
a. Tools to evaluate the protocol are valid and reliable. b. Support from the nurses implementing the protocol is present. c. Recommendations for the protocol are obtained from senior administrators. d. The evidence-based protocol is cost-effective for the facility.
The nurse is instructing a group of students about the ability to increase the strength of a cardiac contraction. Which medical term is appropriate for the nurse to use when referring to this topic?
1. Positive inotropic effect 2. Negative inotropic effect 3. Preload 4. Afterload
A Native American patient describes a difficult childhood and dropping out of high school. The patient abused alcohol as a teenager to escape feelings of isolation but stopped 10 years ago. The patient now says, "I feel stupid. I've never had a good job
I don't help my people." Which nursing diagnosis applies? a. Risk for other-directed violence b. Chronic low self-esteem c. Deficient knowledge d. Social isolation
While donning sterile gloves, the nurse notices the edges of the glove package are slightly yellow. The yellow area is more than 1 inch away from the gloves and only appears to be on the outside of the glove package
What is the best action for the nurse to take at this point? a. Continue using the gloves inside the package because the package is intact. b. Remove gloves from the sterile field and use a new pair of sterile gloves. c. Throw all supplies away that were to be used and begin again. d. Use the gloves and make sure the yellow edges of the package do not touch the client.