The nurse is preparing to administer a first dose of clopidogrel (Plavix) to a patient. As part of the history, the nurse learns that the patient has a previous history of peptic ulcers, diabetes, and hypertension
The nurse understands it will be necessary to notify the provider and obtain an order for
a. a proton pump inhibitor (PPI) medication.
b. frequent serum glucose monitoring.
c. increased antihypertensive medications.
d. nonsteroidal antiinflammatory medications.
ANS: A
Patients with a previous history of peptic ulcer are at increased risk for gastric bleeding and should take a PPI or histamine2 blocker to prevent this. There is no indication for increased glucose monitoring or an increase in antihypertensive drugs. Nonsteroidal antiinflammatory drugs are contraindicated.
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Which action by the nurse is most helpful to prevent clients from acquiring infections while hospitalized?
a. Assessing skin and mucous membranes b. Consistently using appropriate hand hygiene c. Monitoring daily white blood cell counts d. Teaching visitors not to visit if they are ill
Order: Nitroglycerin 3 mcg/kg/min Available: Nitroglycerin 100 mg in 500 mL D5W Client's weight: 132 lb The IV flow rate is _______________
a. 20 mL/hr b. 36 mL/hr c. 5 mL/hr d. 54 mL/hr
Mrs. Ballentine has been hospitalized for kidney disease and has been prescribed a low-sodium diet. When the nursing assistant brings in her lunch tray, Mrs. Ballentine says "Take that tasteless food away." What should the nursing assistant do?
A. Leave the food at her bedside, in case she gets hungry later in the day. B. Remove the food and report her refusal to the supervising nurse. C. Remove the food and say nothing; she has a right to refuse food. D. Insist that she eat six bites of her entree before taking the tray away.
The liver performs synthetic reactions that yield inactive products called:
A. ions. B. byproducts. C. hormones. D. metabolites.