A patient is taking a low-dose PPI for long-term management of GERD and reports taking sodium bicarbonate (Alka-Seltzer) to help with occasional heartburn. The primary care NP should tell the patient to:
a. change to aluminum hydroxide (Amphojel).
b. use magnesium hydroxide (Milk of Magnesia) instead.
c. continue using sodium bicarbonate (Alka-Seltzer) as needed.
d. take calcium carbonate (Tums) instead of sodium bicarbonate (Alka-Seltzer).
D
Sodium bicarbonate is not suitable for long-term use because of side effects. Calcium carbonate requires monitoring when used long-term but has the highest acid-neutralizing capacity. Antacids containing aluminum and magnesium can cause electrolyte imbalances.
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The nurse is explaining to a client that some risks for cardiovascular disease (CVD) can be minimized by nutritional change. What should the nurse recommend to reduce the client's risk of developing atherosclerosis?
a. Maintaining lower cholesterol levels b. Daily supplementation with vitamin E c. The addition of selenium to the daily diet d. Adding foods rich in beta carotene to the diet
The nurse should expect a toddler to cope with the stress of a short period of separation from parents by displaying what?
a. Regression b. Happiness c. Detachment d. Indifference
A patient says that he doesn't want the nurse to remove the PICC line from his arm because the last time he had one, the doctor told him that it was something that only a doctor can do
Which of the following would be the most appropriate response to this patient? 1. "The nurse practice act for this state includes this skill as a nursing activity and I have been trained on the correct way to remove it.". 2. "I will get the doctor.". 3. "Are you refusing to have the PICC line removed?" 4. "I can talk you through removing it yourself.".
The route of excretion of a volatile drug will likely be the:
1. Kidneys 2. Lungs 3. Bile and feces 4. Skin