The nurse is reviewing new medication orders for an older patient with asthma. Which medication should the nurse question before providing it to the patient?
1. Aspirin
2. Antibiotic
3. Anticoagulant
4. Calcium channel blocker
1
Rationale: Certain medications should be avoided when treating patients with asthma because adverse reactions can exacerbate asthmatic problems. Sudden, potentially life-threatening bronchospasm has been associated with aspirin use in older patients.
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A medical inpatient who is being counseled for somatoform pain disorder states he believes his pain is the result of an undiagnosed injury
He adds that he is unable to adhere to his plan for care, which involves performing his own activities of daily living, walking 20 minutes daily, and using pain medication only at bedtime. Which behavior, as charted by staff, would most suggest that he is responding to interventions? a. "Patient bathed himself and did not seek analgesics this shift.". b. "Up ad lib, complains of minor pain but ‘trying to do without' pain meds.". c. "Patient agrees to try acetaminophen (Tylenol) in place of narcotics.". d. "Patient states he is feeling better and is ready to leave the hospital.".
Directions: Round dosage and weight to the nearest tenth as indicated. Use labels where provided
Erythromycin ethylsuccinate 62.5 mg p.o. q6h is ordered for an infant weighing 10 lb 4 oz. The recommended safe dosage is 30 to 50 mg/kg/24 hr divided q6h. a. What is the infant's weight in kilograms? _____ b. What is the safe 24-hour dosage range for this infant? _____ c. What is the divided dosage range? _____ d. Is the dosage ordered safe? (Prove mathematically.) _______________ Explain your action: ______________________________
For a client waiting for a heart transplant who has been fitted with a left ventricular assist device (LVAD), the nurse would explain that the purpose of this device is to
a. electrically stimulate the left ventricle to contract. b. extract blood from the left ventricle and propel it into the systemic circulation. c. measure hemodynamics of cardiac output occurring because of dysrhythmias. d. sound an alarm when the intraventricular pressure drops.
When moving a client up in bed, the nurse asks the client to fold the arms across the chest and lift the head with the chin on the chest. What is the rationale for placing the client in this position?
A) To prevent hyperextension of the neck B) To prevent pressure on the arms C) To lower the client's center of gravity D) To decrease the effort needed to move the client