Patient calls the clinic to ask about taking a glucosamine-chondroitin supplement for arthritis. The nurse reviews the medication history and notes that there will be a concern for drug interactions if the patient is also taking medications for which disorder?
a. Type 2 diabetes mellitus
b. Hypothyroidism
c. Hypertension
d. Angina
Answer: a. Type 2 diabetes mellitus
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Which nursing progress note would most suggest that the treatment plan of a severely depressed and withdrawn patient has been effective?
a. "Slept 6 hours straight, sang with activity group, eager to see grandchild.". b. "Slept 8 hours, attended craft group, ate half of lunch, denies suicidal ideation.". c. "Slept 10 hours, personal hygiene adequate with assistance, lost one pound.". d. "Slept 7 hours on and off, reports "food has no taste", no self-harm noted.".
The individual seen in the emergency department who should be considered at highest risk for
completing suicide is a. A single white man, aged 79 years, with cancer of the prostate. b. A single black female church member, aged 38 years, with fibrocystic breast disease. c. A 60-year-old married Hispanic man with numerous grandchildren who has type II diabetes. d. An adolescent white girl with superior athletic and academic skills who has asthma.
A client scheduled for surgery asks, "Is it okay that the surgeon is going to remove my tonsils and adenoids?" What is the nurse's best response?
1. "Sometimes removing tissue is a healthier option than leaving it in place." 2. "Those tissues don't do anything but cause sore throats, so it is good to be rid of them." 3. "We aren't certain why we have them to start with." 4. "This is a common procedure, and you will have to be on prophylactic medications during cold and influenza season for the first year after having these tissues removed."
The interpretation of DEXA scores in the rare cases of adolescent osteoporosis in teens:
1. Use the same T scores that are established for women 2. Cannot be done because of less-than-mature bones 3. Must use special Z-scores developed for this reason 4. Can only be done if bisphosphonates have already been started