A patient with an inflammatory response is prescribed ranitidine (Zantac) 75 mg once a day. What is your best action?
a. Give the drug as ordered.
b. Hold the drug and notify the prescriber.
c. Teach the patient to take the drug first thing in the morning.
d. Ask the patient if he or she is allergic to any drugs or other substances.
ANS: B
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A nurse wants to make sure that the teaching materials and the communication channels being planned for use during an educational program will be effective. Which of the following actions should the nurse take?
a. Create materials based on the goals of the program, assuming a low literacy level b. Determine the reading level of the audience and the materials to be distributed c. Only use materials that have been professionally developed by a commercial group d. Pretest the materials with members of the target group to obtain feedback
Which statement made by a client who has agoraphobia and does not leave her home identifies the
thinking typical of a client with this disorder? a. "I know I'll get over not wanting to leave home soon; it just takes time.". b. "When I have a good incentive to go out, I'll be able to do it.". c. "My husband and kids tell me they like it now that I stay home.". d. "Being afraid to go out seems ridiculous, but I can't go out the door.".
To assess a patient's apical pulse, the nurse would locate the apical pulse site and
a. gently palpate with the first three fingers for the pulsations. b. press firmly with all five fingers, because the pulsations are difficult to locate at this site. c. place the diaphragm of the stethoscope over the pulse site and listen for the heartbeat. d. palpate the radial pulse while listening to the apical rate with the stethoscope.
A task force is considering factors that contribute to high-quality safe staffing. Which statement reflects an understanding of the American Nurses Association's (ANA) Safe Staffing Saves Lives recommendations?
a. Because patient needs remain constant on a daily shift, staffing needs at the beginning of the shift should be sufficient to provide safe, high-quality care. b. Staffing should allow time for the RN to apply the nursing process so decisions result in high-quality, safe patient outcomes. c. Patient acuity levels affect staffing by increasing the need for unlicensed personnel to provide routine basic care rather than increasing RNs in staff mix. d. RN staffing is not cost-effective; thus is it important for staffing models to limit the number of RNs assigned per shift.