A patient is taking hydrocodone and ibuprofen for cancer pain and is admitted to the hospital for chemotherapy. The nurse anticipates that the prescriber will ____ ibuprofen
a. reduce the dose of
b. discontinue the
c. increase the dose of
d. order aspirin (ASA) instead of
B
NSAIDs are contraindicated in patients undergoing chemotherapy because of decreased platelet production caused by bone marrow suppression. Any NSAID further increases the risk of bruis-ing and bleeding. ASA is especially dangerous, because it causes irreversible inhibition of platelet aggregation. Ibuprofen should be discontinued, not reduced or increased.
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A patient has been diagnosed with tuberculosis and will soon begin first-line drug treatment. How will rifampin most likely be administered to this patient by the nurse?
A) Orally, with food B) Orally, on an empty stomach C) Intramuscularly D) Intravenously, as bolus
To assess the effectiveness of incentive spirometry, the nurse can use a pulse oximeter to monitor the patient's:
A) Oxygen saturation B) Hemoglobin level C) Partial pressure of carbon dioxide (PaCO2) D) Partial pressure of oxygen (PaO2)
The nurse is caring for a teenage girl who has had an anaphylactic reaction after being stung by a wasp. The nurse is providing patient teaching prior to the patient's discharge
In the event of an anaphylactic reaction, the nurse informs the patient that she should self-administer epinephrine in what site? A) Forearm B) Thigh C) Deltoid muscle D) Abdomen
The nurse is caring for a 6-month-old child who has elbow restraints ordered. The nurse should:
a. Remove both restraints with supervision b. Examine both limbs one at a time with the restraints off c. Keep the restraints on until the physician orders them to be removed d. Generously pad the restraints, but not remove them