A nurse provides care in a primary health clinic that is located in an inner-city neighborhood. Many patients who utilize the clinic are young women and the birth rate in the area is high
At what point should the nurse best begin to teach a young, female client about the risks of teratogens and potential fetal drug effects?
A) At the beginning of the patient's second trimester
B) After the patient's first ultrasound
C) Immediately following a positive pregnancy test
D) Prior to a woman becoming pregnant
D
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A client with severe and persistent mental illness is homeless. He tells the nurse at the mental health outpatient clinic that he had to leave his mother's house because she "picked at me all the time."
He now stays in the park, eats at a soup kitchen, and washes in a gas station bathroom. He states he isn't hearing voices but he needs more "pills." The nurse can assess that his homelessness is primarily related to: 1. Lack of family support 2. Failure to perform ADLs 3. Medication noncompliance 4. Exacerbation of psychotic symptoms
Between her admission at 1500 and the next day, she receives four doses of Lortab and one
dose of acetaminophen (Tylenol). At 1300, she develops a fever of 101° F (38.3° C), and the physician writes an order to give acetaminophen (Tylenol), 650 mg PO every 4 hours for temperature over 100.5 ° F (38.1 ° C). Is there a concern with this order? What will be an ideal response?
A nurse is caring for a patient with gallstones who has been prescribed ursodeoxycholic acid (UDCA). The patient askshow this medicine is going to help his symptoms. The nurse should be aware of what aspect of this drug's pharmacodynamics?
A) It inhibits the synthesis of bile. B) It inhibits the synthesis and secretion of cholesterol. C) It inhibits the secretion of bile. D) It inhibits the synthesis and secretion of amylase.
A postoperative patient will begin anticoagulant therapy with rivaroxaban [Xarelto] after knee replacement surgery. The nurse performs a history and learns that the patient is taking erythro-mycin. The patient's creatinine clearance is 50 mL/min
The nurse will: a. administer the first dose of rivaroxaban as ordered. b. notify the provider to discuss changing the patient's antibiotic. c. request an order for a different anticoagu-lant medication. d. request an order to increase the dose of rivaroxaban.