The barbiturate phenobarbital is prescribed for a patient with epilepsy
While assessing the patient's current medications, the nurse recognizes that interactions may occur with which drugs? (Select all that apply.)
a. Antihistamines
b. Opioids
c. Diuretics
d. Anticoagulants
e. Oral contraceptives
f. Insulin
ANS: A, B, D, E
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Computerized provider order entry (CPOE):
a. allows orders to be communicated to the appropriate department. b. creates an intermediary for order transcription. c. slows documentation and provider communication. d. may lead to increased ordering and transcription errors.
Procedural pain control is best achieved with the use of what strategies during the early phase (first 24–48 hours) of recovery in the patient with a major burn injury?
a. Opioids alone b. Intravenous opioids used in combination with oral antidepressants c. Opioids (oral or intravenous) and guided imagery d. Small doses of intravenous opioids titrated to effect
Which intervention by a nurse is effective in the prevention of autonomic dysreflexia in the patient with an SCI?
a. Ensure patency of the urinary catheter. b. Give warm baths to the patient to stimu-late vasodilation. c. Keep lighting at a minimum to reduce stimulation. d. Offer the patient four or five small meals daily.
The nurse is evaluating a patient with sepsis for the development of disseminated intravascular coagulation (DIC). What is a sign that the patient may have developed this complication?
1. Ecchymoses of the gums or skin 2. Resistance when flushing a capped port of a central venous catheter 3. A reduction in the D-dimer 4. Increased fibrinogen levels