The primary care NP is preparing to prescribe acamprosate for a patient who is an alcoholic. Before initiating treatment with this medication, the NP should:
a. assess renal function.
b. obtain liver function tests.
c. teach the patient never to take the drug with alcohol.
d. tell the patient that this medication is used to treat withdrawal symptoms.
A
This drug should not be given if patients have severe renal impairment. LFTs are indicated if signs of liver toxicity occur. Acamprosate does not cause a disulfiram-like reaction and is not used to treat withdrawal.
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The OASIS document includes
A. Consent form for IV therapy. B. Homebound status. C. Advanced Directive document. D. Client Bill of Rights document.
Heartburn associated with gastroesophageal reflux disease (GER
D) A) improves if the older client is lying flat or bending over. B) is unaffected by the size of meals eaten or the types of food. C) may cause chest pain severe enough to cause the older client to fear having a heart attack and seeking medical attention in an emergency care facility. D) will not put the older client at increased risk for esophageal cancer.
What does outpatient surgery teaching include?
A) What room the patient will be admitted to after the surgery B) What activities the patient can do prior to the surgery C) Bring a list of medications and allergies to the outpatient surgery department D) Bring a diet journal for 24 hours prior to the scheduled surgery
Select the most appropriate comment by the nurse when a depressed patient says, "What's the use in going on?"
a. "Are you thinking about suicide?" b. "I am not sure I understand what you are saying." c. "Keep your hope alive. It's always darkest just before light." d. "Tell me more about your activities before you got depressed."