A hospitalized 72-year-old patient wants to know where her digoxin pill is because she always takes it for her heart. How should the nurse respond?
1. "Digoxin is a bad medication to take."
2. "The health care provider will likely order a different heart medication."
3. "Digoxin doesn't work as well as it used to."
4. "Digoxin is no longer manufactured."
2
Rationale 1: The nurse should not tell the patient that digoxin is a bad medication.
Rationale 2: The nurse should inform the patient that the health care provider will order a different heart pill than the digoxin. Digoxin toxicity may result because of reduced renal function in older adults. Safer alternatives exist.
Rationale 3: While it is true that digoxin is not beneficial to a patient over age 65, this statement does not address what will be done to replace the medication.
Rationale 4: Digoxin is still being manufactured.
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As a result of legal relationships that form from employment in critical care, professional nurses owe the
a. employer a willingness to work overtime when needed. b. patient the provision of reasonable and prudent care. c. physician the ability to carry out all written orders. d. profession state membership in a nursing organization.
The nurse is caring for a patient receiving an antineoplastic medication IV. While the medication is infusing, the IV needle becomes dislodged and goes in to the tissue. What is the highest priority for this patient at this time?
a. Call the physician on call to report the occurrence. b. Inject medication immediately into the skin to counter the effect of the medication. c. Elevate the affected IV site and apply ice. d. Place the affected site into a dependent position.
The nurse palpates a mass while conducting the physical assessment of the patient's breast. How should the nurse document the mass located in the position provided in the diagram?
A) Mass located in the Tail of Spence B) Mass located in the 8 o'clock position C) Mass located in the lower inner quadrant D) Mass located in the 2 o'clock position
Which structure of the gastrointestinal (GI) system is found in the right upper quadrant (RUQ) and is the primary site of absorption?
1) Stomach 2) Duodenum 3) Sigmoid 4) Large intestine