The nurse teaches a client with gastroesophageal reflux disease (GERD) about measures to prevent reflux during sleep. The nurse determines that the client needs additional instructions if the client states:
A. "I should take an antacid at bedtime."
B. "I should sleep flat on my right side."
C "The histamine antagonist will help me."
D. "I should avoid eating in the 3 hours before bedtime."
Ans: B. "I should sleep flat on my right side."
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The nurse is taking the pulse of an adult patient and finds that the patient's heart rate is 48 . He knows that this is considered:
a. tachycardia. b. bradycardia. c. a normal heart rate for an infant. d. a normal heart rate for an adult.
When assessing the health of a patient diagnosed with toxic epidermal necrolysis (TEN), the nurse would be alert to which of the following precipitating factors?
A) History of blistering sunburns B) Substandard hygienic conditions C) Medication reaction D) History of chickenpox
The wife of a patient who has been diagnosed
with depression calls the office and says, "It's been an entire week since he started that new medicine for his depression, and there's no change! What's wrong with him?" What is the nurse's best response? a. "The medication may not be effective for him. He may need to try another type." b. "It may take up to 6 weeks to notice any therapeutic effects. Let's wait a little longer to see how he does." c. "It sounds like the dose is not high enough. I'll check about increasing the dosage." d. "Some patients never recover from depression. He may not respond to this therapy."
The nurse is assessing a drug-dependent newborn. Which symptom would require further assessment by the nurse?
1. Occasional watery stools 2. Spitting up after feeding 3. Unrelieved irritability 4. Positive Babinski's reflex