A pediatric nurse listens while a mother describes her toddler's eating habits. The mother states that her daughter "refuses to eat vegetables at mealtime" and "wants peanut butter sandwiches for every meal
" The nurse's best advice to the mother is:
A) inform her that food jags can lead to eating disorders later on in life.
B) reassure her that food jags are normal and the tendency will pass.
C) encourage her to seek immediate help from a dietician to plan meals.
D) suggest that she force her child to drink more and eat healthy foods.
B
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Dwayne has recently started on carbamazepine to treat seizures. He comes to see you and you note that while his carbamazepine levels had been in the therapeutic range, they are now low. The possible cause for the low carbamazepine levels include:
1. Dwayne hasn't been taking his carbamazepine because it causes insomnia. 2. Carbamazepine auto-induces metabolism, leading to lower levels in spite of good compliance. 3. Dwayne was not originally prescribed the correct amount of carbamazepine. 4. Carbamazepine is probably not the right antiseizure medication for Dwayne.
A female patient who takes phenytoin for epilepsy becomes pregnant. The nurse will notify the patient's provider and will anticipate that the provider will take which action?
a. Add valproic acid (Depakote) for improved seizure control. b. Change the medication to phenobarbital (Luminal). c. Closely monitor this patient's serum phenytoin levels. d. Discontinue all anticonvulsant medications.
As the nurse is completing the physical assessment of a client receiving heparin therapy for deep vein thrombosis (DVT), the client complains of severe lumbar pain. Which is the nurse's priority action?
1. Evaluate further because this could indicate a complication of drug therapy. 2. Reposition the client to promote comfort. 3. Administer pain medication. 4. Document the finding and report it to the next shift.
The nurse is caring for a 14-year-old boy with an osteosarcoma. Which communication technique would be least effective for him?
A) Letting him choose juice or soda to take pills B) Seeking the teenager's input on all decisions C) Discussing the benefits of chemotherapy with him D) Avoiding undue criticism of noncompliance