The nurse notes that Cimetidine has been prescribed for an older adult client. The nurse's highest priority would be to call:
a. the physician.
b. the pharmacist.
c. the nursing supervisor.
d. Poison Control.
ANS: A
Cimetidine is not recommended for the older adult because of its side effects and multiple potential drug interactions. Famotidine, nizatidine, and ranitidine may be prescribed for the geriatric client instead of cimetidine.
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Defecation is normally stimulated by what physiologic trigger?
A) Movements and reflexes in the gastrointestinal tract B) Stimulation from the medulla oblongata C) Synthesis and release of digestive enzymes D) Changes in the osmolarity of bowel contents
A rape victim asks a nurse, "How do I know whether this attack was my fault?" Which response by the nurse is therapeutic?
a. Support the victim to separate issues of vulnerability from blame. b. Make decisions for the victim because of the temporary confusion. c. Reassure the victim that the outcome of the situation will be positive. d. Pose questions about the rape and help the patient explore why it happened.
The nurse would expect to observe which of the following when assessing a client with cholelithiasis?
A) Stools that contain blood and mucus B) Bowel sounds that are absent C) Stools that appear small and dry D) Urine that appears dark brown
Urine specific gravity is increased in clients with
a. dehydration b. diabetes insipidus c. chronic renal failure d. overhydration