A patient who is prescribed cholestyramine (Questran) tablets reports experiencing bloating, nausea, and gas. What is your best action?
a. Hold the drug and notify the prescriber.
b. Document the finding as the only action.
c. Administer the drug before meals to avoid nausea.
d. Teach the patient to drink 12 to 16 ounces of water with the drug.
ANS: D
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A woman who is a victim of severe emotional violence tells the nurse that her husband abuses her most often when he is intoxicated, just as his father had beaten him and his mother
The woman is aware of the location of a safe house and has considered leaving home with her two children, but she cites being brought up to believe "you keep quiet and stay together, no matter what happens.". She states the husband is always apologetic and remorseful after an incident. The nurse responds, "You cannot live like this; you have to defend yourself and your children.". Which statement most accurately describes the nurse's response? a. It is an honest and direct response that will help build trust and rapport. b. It suggests that the nurse herself has been a victim of physical abuse. c. It is unprofessional, but it will likely help by motivating the patient. d. It is a human but unprofessional response and is not helpful.
During an antepartum visit, the nurse tells the mother that one sign that must be reported immediately, no matter what the stage of pregnancy, is:
a. backache. b. urinary frequency. c. vaginal bleeding. d. uterine tightening.
The patient has acute angina upon exercise. The physician starts this patient on a long-acting nitrate. Why is this medication used for acute angina?
1. It reduces blood going to vessels, reducing pain. 2. It opens vessels, increasing blood supply to the heart during exercise. 3. It controls returning blood going to the heart. 4. It thins returning blood going to the heart.
The client tells the nurse, "I thought I was just depressed, but my doctor says I have bipolar disorder. What is that?" Which response by the nurse is the most appropriate?
1. "Bipolar disorder just means that your mood alternates with the seasons, and it becomes worse in the winter." 2. "Bipolar disorder means you have cycles of depression as well as hyperactivity, or mania." 3. "Bipolar disorder is just another type of depression, except your depression occurs in cycles." 4. "Bipolar disorder is a type of depression that includes attention deficit disorder symptoms."