An older patient with a history of constipation has been directed to use an over-the-counter medication to help manage symptoms of gastroesophageal reflux by buffering the gastric pH. Which medication would be the best for the patient to use?

1. Pepcid
2. Maalox
3. Mylanta
4. Milk of Magnesia


4
Rationale: A histamine2 receptor agonist like Pepcid decreases acid production by inhibiting histamine stimulation of the parietal cells.

Nursing

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A child who has ß-thalassemia is receiving numerous blood transfusions. The child also is receiving deferoxamine (Desferal) therapy. The parents ask how the deferoxamine will help their child

The nurse explains that the deferoxamine (Desferal) is given to: 1. Prevent blood transfusion reactions. 2. Stimulate red blood cell production. 3. Provide vitamin supplement. 4. Prevent iron overload.

Nursing

The patient complains of feeling the need to urinate and fullness and tenderness in the bladder area. The patient is restless and diaphoretic. What is the most appropriate initial nursing intervention?

a. Help the patient into a warm tub bath to stimulate voiding. b. Catheterize the patient. c. Palpate the bladder fundus. d. Place heated towels over the bladder area.

Nursing

An adolescent female client is diagnosed with systemic lupus erythematosus (SLE). Which should the nurse include in the teaching session regarding an activity that should be avoided?

1. Receiving a manicure and a pedicure 2. Washing the hair with shampoo daily 3. Using a tanning bed 4. Attending late night parties and dances

Nursing

The primary muscles of inspiration are:

A. Diaphragm and intercostal B. Ribs and sternum C. External intercostal D. Internal intercostal

Nursing