A client with seizure disorder is taking phenytoin (Dilantin). What client teaching is most appropriate?
a. Administer a preactivated form of folate to counter folate deficiency.
b. Take the medication on an empty stomach to allow slower absorption.
c. Take a supplemental multivitamin including vitamins A, D, E, K, and folate.
d. Take medication with food to increase the rate of absorption of the medication.
c
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The nurse is caring for a patient who has a diagnosis of AIDS. Inspection of the patient's mouth reveals the new presence of white lesions on the patient's oral mucosa. What is the nurse's most appropriate response?
A) Encourage the patient to gargle with salt water twice daily. B) Attempt to remove the lesions with a tongue depressor. C) Make a referral to the unit's dietitian. D) Inform the primary care provider of this finding.
A client has to undergo a variation of gastrointestinal endoscopy called esophagogastroduodenoscopy (EGD) to detect lesions in the gastrointestinal tract. What should the nurse observe for while assessing the client during the procedure?
A) Signs of perforation B) The client's level for retaining the barium C) The client's tolerance for pain and discomfort D) Gag reflex
A 65-year-old patient is admitted to the hospital with heart failure. The patient's best friend accompanies her on admission. They have been sharing a home since they each were widowed 3 years ago. Both women have grown children who live out of state
Using the family nursing approach, how can the nurse best intervene? 1) Involve the friend and children in the patient's care, discharge planning, and home care. 2) Encourage the friend to wait until discharge to provide care for the patient at home. 3) Explain to the friend that for confidentiality reasons she cannot be involved in the patient's care. 4) Encourage liberal visiting hours by the friend and the patient's children.
When attempting to meet the needs of the family, the nurse recognizes the central concept of the theory of family developmental stages is that:
1. Over time all families progress through developmental stages 2. Needs differ as the family progresses through the various stages 3. While each family is unique, they all tend to progress through similar stages 4. The family will progress only when all the challenges of a particular stage are met