The ambulatory care nurse is providing instructions to a client with a urinary tract infection (UTI) being started on medication therapy with nitrofurantoin (Macrodantin), a urinary antiseptic agent. The nurse tells the client that:
1. It can cause urinary retention.
2. It will cause the urine to become clear.
3. If taken with meals, it will help decrease the risk for gastrointestinal (GI) upset.
4. The sun should be avoided because it is a sulfa-based medication.
3
Rationale: Nitrofurantoin is a urinary antiseptic (not a sulfa-based medication) and should be taken with meals to decrease the incidence of GI side effects. Food or milk decreases the GI upset. The medication could cause the urine to turn rust yellow or brown. It does not cause urinary retention.
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IV administration of ergot alkaloids:
a. should be reserved for hemorrhagic emergencies. b. is the first-line treatment for cervical ripening. c. is safe in any phase of labor. d. is indicated for laboring, hypertensive patients.
A client is scheduled for a single-photon emission computed tomography test. Which condition in the client's history causes the nurse to contact the provider before the test takes place?
a. Peptic ulcers b. Smoking history c. Liver failure d. Currently breast feeding
Directions: Use the following weight-based heparin protocol for the following problems
1. Bolus heparin at 80 units/kg 2. Begin intravenous infusion of heparin at 18 units/kg/hr using 25,000 units of heparin in 250 mL of 0.45% NaCl for 100 units per mL 3. Adjust intravenous heparin daily on the basis of APTT results. - APTT less than 35 sec. Rebolus with 80 units/kg and increase rate by 4 units/kg/hr - APTT 35-45 sec. Rebolus with 40 units/kg and increase rate by 2 units/kg/hr - APTT 46-70 sec. No change - APTT 71-90 sec. Decrease rate by 2 units/kg/hr - APTT greater than 90 sec. Stop heparin infusion for 1 hour and decrease rate by 3 units/kg/hr A client weighs 81 kg. Determine the bolus dose of heparin, the initial infusion rate, and then adjust the hourly infusion rate up or down on the basis of the APTT results. APTT is reported as 43. The IV pump is calibrated in tenths of a milliliter.
The nurse who works at a Veterans Administration hospital would like to publicly campaign for a candidate in a national election. This nurse should first review which document?
1. The Nursing Reform Act 2. The Nightingale Amendment 3. The Hatch Act 4. The Cox Amendment