A nurse reviews a client's medical record for possible conditions that would contraindicate the use of carbidopa/levodopa (Sinemet). Which of the following would the nurse identify as a contraindication? Select all that apply
A) Narrow-angle glaucoma
B) Renal disease
C) Hepatic disease
D) Diabetes
E) Use of MAOI antidepressants
Ans: A, E
Feedback:
Carbidopa/levodopa (Sinemet) is contraindicated in clients who have known hypersensitivity to the drug or narrow-angle glaucoma or who use MAOI antidepressants.
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The nurse caring for a patient receiving heparin intravenously for a diagnosis of pulmonary emboli is evaluating the patient's laboratory data and recognizes that a therapeutic range for the international normalized ratio (INR) is:
A) 0.5 to 1.0 B) 1.0 to 1.5 C) 1.5 to 2.0 D) 2.0 to 2.5
The nurse can act as a healing facilitator or instrument of healing to the client in which of the following ways? (Select all that apply.)
a. help a client to attempt to remain healthy and balanced b. help a client to have a conscious goal or direction c. help a client use inner resources for healing d. help a client to care for oneself e. help a client to prepare for their death f. help a client to honor culturally based health beliefs
Which of the following teaching points around the use of self-reflection with older adults is most accurate?
A) Self-reflection is easier for older adults than for younger adults. B) Self-reflection is less effective for male elders than for females. C) Self-reflection often involves learning a process and is difficult for many people. D) Self-reflection is not normally possible with individuals who have cognitive deficits.
When irrigating a patient's wound with a syringe, a nurse directs the flow of solution from the superior area to the inferior area of the wound. The rationale for this action is to
1. Slow the irrigation of the wound, thus eliminating patient discomfort. 2. Assist the nurse in proceeding in an organized manner. 3. Direct the flow of solution from the least contaminated area to the most contaminated area. 4. Use gravity in increasing the force of the irrigation.