Which of the following aspects should the nurse closely monitor for in clients who have been administered salicylates, loop diuretics, quinidine, quinine, or aminoglycosides?
A) Signs of hypotension C) Tinnitus and sensorineural hearing loss
B) Reduced urinary output D) Impaired facial movement
C
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An 87-year-old patient has just been diagnosed with cancer. Her durable power of attorney names her son as her surrogate decision maker. He arrives at the patient's bedside to discuss treatment options with her. The patient is alert and oriented
Her son tells you that he does not want her to receive any treatment (chemotherapy) because of the side effects and her age. The patient tells you that she wants to try the treatment. Which decision should be followed by the nurse? a. The patient's son's b. The patient's c. Both—initially the patient's; then the son's when the medication's side effects become severe d. Neither; this is a legal decision and should be made by a court of law
A nurse cares for a client who recently completed genetic testing that revealed that she has a BRCA1 gene mutation. Which actions should the nurse take next? (Select all that apply.)
a. Discuss potential risks for other members of her family. b. Assist the client to make a plan for prevention and risk reduction. c. Disclose the information to the medical insurance company. d. Recommend the client complete weekly breast self-examinations. e. Assess the client's response to the test results. f. Encourage support by sharing the results with family members.
An 18-year-old woman at 18 weeks' gestation is being seen in the prenatal clinic. Her weight gain is 25 pounds over her prepregnant weight. Which is the perinatal nurse's best approach to care at this visit?
A. Ask the patient to complete a 3-day dietary recall while she is in the clinic. B. Explain the possible concerns related to excessive weight gain in pregnancy C. Explain to the patient that weight gain is not a concern in pregnancy. D. Teach the patient about the expected normal weight gain during pregnancy.
The nursing instructor is discussing drug therapy in the older adult. What would the instructor tell the students about what could affect therapeutic dosing in an older adult?
A) Changes in the gastrointestinal (GI) system can reduce drug absorption. B) In older adults, drugs enter into circulation more quickly. C) In older adults, drugs are distributed to a smaller portion of the tissues. D) In older adults, drugs have an increased action.