During an admission assessment, the patient
tells the nurse that he has been self-treating his heartburn for 1 year with over-the-counter Prilosec OTC (omeprazole, a proton pump inhibitor). The nurse is aware that this self-treatment may have which result?
a. No serious consequences
b. Prevention of more serious problems, such as an ulcer
c. Chronic constipation
d. Masked symptoms of serious underlying diseases
ANS: D
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A nurse is assessing a healthy, older adult patient for an exercise program to be offered at the local hospital. During the evaluation, the nurse notes the following vital signs:
P = 72, RR = 16, BP = 132/70 . After 3 minutes of moderate-intensity running on the treadmill, the patient becomes short of breath and states, "I have to stop. I can't do this anymore." The nurse measures his vital signs again: P = 152, RR = 40, BP = 172/98 . She instructs him to rest. Vital signs return to baseline after 15 minutes. The nurse should recognize his symptoms as associated with which of the following? a. Anxiety b. Orthostatic hypotension c. Limited activity tolerance d. Respiratory distress
A 3-month-old infant is diagnosed with developmental hip dysplasia. The nurse knows that what is the usual treatment for an infant with this diagnosis?
a. A Pavlik harness b. A body spica cast c. Traction d. Triple-diapering
A nurse is caring for a client with cancer. The nurse teaches the client about which potentially undesirable cellular alterations that can occur during the cell cycle?
Select all that apply. A) Hyperplasia B) Differentiation C) Anaplasia D) Dysphagia E) Adaptation
A patient who has been prescribed a selective serotonin-reuptake inhibitor (SSRI) asks the nurse how it works. What is the best response by the nurse?
1. "SSRIs maintain the drug in its bound form, allowing more of the drug to attach to the neurotransmitter." 2. "SSRIs increase enzymatic action in the blood-brain barrier." 3. "SSRIs improve acid-base balance, enhancing the penetration of the blood-brain barrier." 4. "SSRIs target blood-brain barrier transporters and prevent the reuptake of the neurotransmitter."