A patient asks the nurse why an intravenous (IV) line must be used to receive the antidysrhyth-mic drug lidocaine (Xylocaine). What is the nurse's best response?
a. "The drug companies have not developed an oral form of this drug."
b. "This drug can also be given by endotracheal tube in the ICU."
c. "The drug in oral form would be destroyed by the liver making it ineffective."
d. "This drug does not work when given by any other route."
C
Lidocaine can only be given by IV or by airway inhalation (ET tube). When given orally, the liver destroys most of the drug, making it ineffective.
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A licensed practical nurse performs many tasks and functions in the course of his or her job. Which of the following aspects of nursing is a reflection of Dorothy Orem's theory of nursing?
A) Helping patients achieve harmony between mind, body, and spirit B) Compensating for patients' deficits in their ability to care for themselves C) Providing conditions where patients can become self-actualized D) Teaching patients what their most significant needs are
Which of the following statements is an example of the nurse showing empathy?
A) "I'm sorry to hear that your mother passed away. My own mother died last year and I still remember how bad I felt." B) "Having your boyfriend dump you is hard, but into each life a little rain must fall." C) "I'll bet that moving far away from home has really been difficult. You must feel pretty disoriented, right?" D) "Losing a job you loved must be a painful experience. I'd like to know what your feelings are right now."
In preventing and controlling the transmission of infections, the single most important technique is:
1. Hand hygiene 2. The use of disposable gloves 3. The use of isolation precautions 4. Sterilization of equipment
The effectiveness of change that is implemented according to the PDSA cycle can be best improved by which of the following measures?
A) The inclusion of external evidence B) Recognition of the importance of clinician experience C) An increase in the size of the sample D) Consultation with outside stakeholders