An older patient with a history of GERD has been directed to use over-the-counter medications to help manage symptoms of gastroesophageal reflux by buffering the gastric pH. What education should the nurse provide to the patient in regards to these types of medications
1. They need to supplement with Vitamin C.
2. They may continue taking their dietary supplements.
3. They do not need to take these medications with food.
4. These medications may cause constipation and diarrhea.
1. They need to supplement with Vitamin C.
Explanation: 1. Aluminum-containing antacids (Maalox, Mylanta) can cause osteomalacia and hypophosphatemia.
2. Antacids should be used with caution in older adults who are taking dietary supplements because of the potential for hypermagnesemia and related toxicity. Aluminum-containing antacids (Maalox, Mylanta) can cause related toxicity.
3. Antacids should be taken with foods.
4. Aluminum-containing antacids (Maalox, Mylanta) can cause constipation. Magnesium-containing antacids (milk of magnesia) can cause diarrhea.
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A patient has been prescribed the dopamine agonist pramipexole (Mirapex) for Parkinson's disease. Which of the following are important for the nurse to include in teaching about the drug? (Select all that apply.)
a. "Do not drive until the effects of this drug on you are fully known." b. "Take it at noon each day." c. "Because this drug may interact with some painkillers, be sure to tell health-care providers that you are taking Mirapex." d. "Increase fluids and fiber in your diet." e. "You may experience sudden bouts of excessive sleepiness." f. "Taking the medication with food may reduce nausea."
A nurse is obtaining an admission history on a patient who reports daily drinking for several years. When the nurse questions the patient further, the patient reports drinking up to five or six drinks each day
The patient expresses worry about liver damage. What will the nurse do? a. Contact the patient's provider to request liver function studies. b. Explain that hepatitis, progressing to se-vere liver impairment, is likely. c. Inform the patient that the history indi-cates that cirrhosis is likely to occur. d. Tell the patient that stopping drinking will reverse any effects on the liver.
A mastectomy care plan should address psychosocial problems of the patient. This should be directed toward:
1. caring for the wound and dressings. 2. finding an appropriate support group. 3. educating for methods for controlling edema. 4. helping the patient express feelings and concerns.
A nurse has determined that a patient is suffering from chemical dependency and mental health issues. The patient is sent to a type of rehabilitation facility that will provide medical care in the form of ____________________,
or the removal of drugs and alcohol from the person's body, which generally takes several days. Fill in the blank with correct word.