A patient is receiving an opioid for severe acute pain. What information should the nurse provide regarding this medication? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Increase fluid intake.
2. Take a vitamin D supplement.
3. Eat more protein.
4. Increase intake of complex carbohydrates.
5. Take a stool softener daily.
1,5
Rationale 1: Patients receiving opioids are at risk for constipation. Increasing fluid intake helps to reduce this effect.
Rationale 2: Increasing vitamin D intake is not a recommendation specifically related to the effects of an opioid medication.
Rationale 3: Increasing protein intake is not a recommendation specifically related to the effects of opioid medication.
Rationale 4: Increasing carbohydrate intake is not a recommendation specifically related to the effects of an opioid medication.
Rationale 5: Opioids are constipating, so a stool softener is necessary.
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1. Phenytoin 2. Grapefruit juice 3. Dexamethasone 4. Garlic supplements
A patient's religious beliefs may directly impact the care a nursing assistant provides. Which of the following is the best practice for supporting cultural diversity?
A. Treat every patient's beliefs and customs with respect.
B. Listen when patients share their beliefs and refrain from imposing your own beliefs.
C. Provide privacy when a patient is visited by clergy or is practicing a religious ritual.
D.
| All of these |
A 35-year-old Ugandan American woman is admitted to your unit. She has been diagnosed with Stage 2 breast cancer. She has been on a regimen of chemotherapy and is suffering from dehydration and other side effects of the chemotherapy
As you engage your patient in conversation, you take note of her locus of control and note that many Ugandan Americans tend to have: A. Mixed locus of control. B. External locus of control. C. Internal locus of control. D. Individualistic locus of control.
A patient who was recently diagnosed with COPD comes to the clinic for a follow-up evaluation after beginning therapy with a SABA as needed for dyspnea. The patient reports occasional mild exertional dyspnea but is able to sleep well
The patient's FEV1 in the clinic is 85% of predicted, and oxygen saturation is 96%. The primary care NP should recommend: a. a combination LABA/ICS twice daily. b. influenza and pneumococcal vaccines. c. ipratropium bromide (Atrovent) twice daily. d. home oxygen therapy as needed for dyspnea.