The nurse is administering several medications to an infant with neurologic impairment and delay. The medication that utilizes a proton pump inhibitor administered for gastroesophageal reflux is:

1. Omeprazole (Prilosec).
2. Ranitidine (Zantac).
3. Phenytoin (Dilantin).
4. Glycopyrrolate (Robinul).


1
Rationale:
1. Omeprazole (Prilosec) utilizes a proton pump inhibitor that blocks the action of acid-producing cells and is used to treat gastroesophageal reflux.
2. Ranitidine (Zantac) causes the stomach to produce less acid, and may be used to treat gastroesophageal reflux, but it is a histamine-2 receptor blocker.
3. Phenytoin (Dilantin) is an anticonvulsant used to treat seizures.
4. Glycopyrrolate (Robinul) is an anticholinergic agent used to inhibit excessive salivation.

Nursing

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Maslow's hierarchy of needs is based on the premise that:

a. all needs are equally important. b. basic needs must be met before the next level of needs can be met. c. self-actualization is a primary need. d. individuals prioritize needs the same way.

Nursing

The nurse documents the assessment and interventions performed to relieve the client's pain on a pain management flow sheet. Why is this documentation important?

Select all that apply. 1. Reduces time spent on documentation. 2. Clarifies and communicates each client's pain experience. 3. Accurately documents the pain management efforts performed by the nurse. 4. Enhances pain relief efforts. 5. Ensures continuity of care.

Nursing

The staff on a care area that has a high percentage of clients with confusion attends an educational program on delirium management. Which statement, made by a staff nurse, indicates that teaching has been effective?

A) "It is important to provide education for family members as needed." B) "Sensory deprivation and overstimulation can worsen the symptoms the client exhibits." C) "Decreasing all stimulation in the client's room is essential." D) "The family should involve the client in all conversations and interactions involving care."

Nursing

During assessment, the client frequently refers to her Native American heritage. The nurse assesses that this heritage is a strong part of which of the following?

A) Client's self-esteem B) Client's role performance C) Client's personal identity D) Client's body image

Nursing