A client has been prescribed ranitidine (Zantac). The nurse plans to include which information in the teaching plan for this client?
1. You should experience symptom relief in 10 to 15 minutes after taking this drug.
2. Take this medication after your meal.
3. Take this medication first thing in the morning, before breakfast.
4. This drug will not work as well if you continue smoking.
5. If you experience confusion, discontinue the drug and call for an appointment.
2,4
Rationale 1: Onset of action is 30 to 60 minutes.
Rationale 2: This medication should be administered after a meal.
Rationale 3: This medication should be taken after meals.
Rationale 4: Smoking decreases the effectiveness of ranitidine.
Rationale 5: Ranitidine does not cause the confusion and CNS depression observed with cimetidine.
Global Rationale: This medication should be administered after a meal. Smoking decreases the effectiveness of ranitidine. Onset of action is 30 to 60 minutes. Ranitidine does not cause the confusion and CNS depression observed with cimetidine.
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The nurse executive of a for-profit hospital continually works to provide an environment that is better for the nursing staff
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Where is the disorder of the peripheral nervous system in this patient?
A 60-year-old retired seamstress comes to your office, complaining of decreased sensation in her hands and feet. She states that she began to have the problems in her feet a year ago but now it has started in her hands also. She also complains of some weakness in her grip. She has had no recent illnesses or injuries. Her past medical history consists of having type 2 diabetes for 20 years. She now takes insulin and oral medications for her diabetes. She has been married for 40 years. She has two healthy children. Her mother has Alzheimer's disease and coronary artery disease. Her father died of a stroke and also had diabetes. She denies any tobacco, alcohol, or drug use. On examination she has decreased deep tendon reflexes in the patellar and Achilles tendons. She has decreased sensation of fine touch, pressure, and vibration on both feet. She has decreased two-point discrimination on her hands. Her grip strength is decreased and her plantar and dorsiflexion strength is decreased. A) Anterior horn cell B) Spinal root and nerve C) Peripheral polyneuropathy D) Neuromuscular junction
A parent questions the nurse about her 5-year-old who has begun to masturbate and question the parents about sexual differences among the child's peer mates. The nurse, familiar with Freud's stages of development, responds by saying:
1. "All children are curious, but make sure the child knows that this behavior might be offensive to others." 2. "You should probably consult a child psychologist if you're this concerned." 3. "Let's make sure to ask your physician at the next appointment." 4. "This behavior is a normal part of your child's development."
Which of the following agents is thought to cause G2 arrest?
A. Etoposide B. Taxol C. Cisplatin D. Vincristine E. Methotrexate