The nurse is providing discharge instructions to a client receiving an opioid. Which of the following measures can be used to decrease the risk of constipation?
A)
Take an antihistamine three times per day.
B)
Drink 6–8 glasses of water per day.
C)
Assess respiratory rate before taking medication.
D)
Assess heart rate before taking medication.
B
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The patient calls the clinic nurse and says, "I looked this medication up on the Internet after it was prescribed yesterday and there is nothing in the literature about this drug being used to treat my disorder
Should I still take it?" What is the nurse's best response? A) "No, stop taking it immediately until I can consult with the doctor because it is obvious a mistake was made." B) "Oh, that's okay. Go ahead and take it because the doctor wouldn't order it if he or she didn't think it would be effective." C) "It is quite common for drugs to be found to have positive effects for a condition not originally intended so it is safe to take." D) "Let me talk with the physician about why this medication was ordered for you and I will call you back."
A 32-year-old patient experiences an intestinal perforation and requires emergency surgery
The surgeon first meets the patient just before anesthesia is to be given and explains that peritonitis and intestinal inflammation may make a colostomy necessary. The patient is still quite groggy when stepped down to a postoperative unit and does not yet know that he does have a colostomy. Which initial response(s) should his nurse anticipate when the patient discovers that this procedure has been necessary? Select all that apply. a. Distress that he has been disfigured and will be repugnant to others b. Thankfulness that the surgery was successful and that he will live c. Concerns about how he will do all the things he is used to doing d. Anger that this has happened to him and that it has ruined his life e. Depression related to changes in body image and perceived losses f. Curiosity about how colostomies work and how one cares for them
A client has a decreased secretion of erythropoietin from the kidneys due to end-stage kidney disease. What outcome will the decrease in erythropoietin have?
A) Anemia from the decrease in maturation of red blood cells B) Decrease in blood sugar levels due to alteration in insulin levels C) Increase in blood sugar levels due to alteration in insulin levels D) Development of male sex characteristics
The nurse is caring for a patient in the intensive care unit who is suffering from multiple organ dysfunction syndrome (MODS). What should the nurse's plan of care focus on?
A) Encouraging the family to stay hopeful and educate the family to the fact that, in most cases, the prognosis is good B) Encouraging the family to leave the hospital and to take time for themselves, as care of MODS patients may last for months C) Promoting communication with the patient and family along with addressing end-of-life issues D) Discussing organ donation on a number of different occasions to allow the family time to adjust to the idea