An adolescent client tells the nurse that she takes acetaminophen (Tylenol) a few times every day because of "stress headaches."
The nurse advises her to see a primary healthcare provider because overuse of the medication may result in:
a. nausea and anorexia.
b. gastrointestinal irritation.
c. hepatotoxicity.
d. diaphoresis and fluid loss.
ANS: C
Tylenol is metabolized by the liver and, with extended use, may be toxic to liver tissue.
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A client at an outpatient clinic is ordered to receive ampicillin (Omnipen) for an infection. Which nursing intervention related to penicillins would the nurse question?
a. Verify that the client is not allergic to penicillin. b. Obtain culture before administering the first dose of medication. c. Instruct client to discontinue penicillin when temperature is normal. d. Encourage the client to increase fluid intake.
The pregnant patient tells the nurse that her prescribed medication is not as effective as it was before her pregnancy. What is the best response by the nurse?
1. "This is because your blood volume has increased." 2. "Tell me how you have been taking your medication." 3. "This is because your baby is receiving part of the medication." 4. "Maybe the medication has expired; check the label."
A nurse who oversees the care in a nursing home is aware that the older adults who reside in the facility are vulnerable to impaired thermoregulation. What information source should the nurse prioritize when regulating the temperature in the facility?
A) The nurse's perception of heat and cold when dressed similarly to the residents B) Readings from an accurate thermometer C) The input from nursing assistant and unlicensed care providers in the facility D) The suggestions of residents who do not have cognitive impairments
The client receives multiple antibiotics to treat a serious infection. What will the priority assessment of the client by the nurse include?
1. Assessing blood cultures for the presence of bacteria 2. Assessing changes in stool, white patches in the mouth, and urogenital itching or rash 3. Assessing renal and liver function tests 4. Assessing whether or not the client has adequate food and fluid intake