A 58-year-old man is prescribed dicyclomine (Bentyl) for irritable bowel syndrome. In which of the following conditions is dicyclomine therapy contraindicated?
A) Hypertension
B) Diabetes mellitus
C) Glaucoma
D) Rheumatoid arthritis
C
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The wife of your alcoholic patient has been attending Al-Anon meetings for the past 2 weeks. Which statement tells you the wife is benefitting from the meetings?
A. "I can tolerate his destructive behavior now that I see how bad other women have it." B. "I realize that I provoke his drinking when I go out with my friends." C. "I no longer feel that I have to tolerate his berating me." D. "It is great to get out of the house and away from the tension."
A patient with anorexia nervosa is resistant to weight gain. What is the rationale for establishing a contract with the patient to participate in measures to produce a specified weekly weight gain?
a. Severe anxiety concerning eating is expected, so objective and subjective data must be routinely collected. b. Patient involvement in decision making increases sense of control and promotes adherence. c. Because of risks of physical problems from refeeding, the patient's consent is essential. d. A team approach to treatment planning ensures that physical and emotional needs are met.
A nurse practitioner is preparing to perform a patient's scheduled Pap smear and the patient asks the nurse to ensure that the speculum is well-lubricated. How should the nurse proceed with assessment?
A) Reassure the patient that ample petroleum jelly will be used. B) Reassure that patient that a water-based lubricant will be used. C) Explain to the patient that water is the only lubricant that can be used. D) Explain to the patient why the speculum must be introduced "dry."
A client on prolonged bed rest has developed a pressure ulcer. The wound shows no signs of healing even though the client has received skin care and has been turned every 2 hours. Which factor is most likely responsible for the failure to heal?
a) Inadequate protein intake b) Low calcium level c) Inadequate massaging of the affected area d) Inadequate vitamin D intak