A patient has a 9-year history of a seizure
disorder that has been managed well with oral phenytoin (Dilantin) therapy. He is to be NPO (consume nothing by mouth) for surgery in the morning. What will the nurse do about his morning dose of phenytoin?
a. Give the same dose intravenously.
b. Give the morning dose with a small sip of water.
c. Contact the prescriber for another dosage form of the medication.
d. Notify the operating room that the medication has been withheld.
ANS: C
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A patient, newly diagnosed with thrombocytopenia, is admitted to the medical unit. After the admission assessment the patient asks the nurse to explain the disease. What should the nurse explain to the patient about this condition?
A) There could be an attack on the platelets by the antibodies B) There could be decreased production of platelets C) There could be elevated platelet production. D) There could be decreased white blood cell production.
A 2-year-old child is being admitted to the hospital for possible bacterial meningitis. When preparing for a lumbar puncture, what should the nurse do?
a. Set up a tray with equipment the same size as for adults. b. Apply EMLA to the puncture site 15 minutes before the procedure. c. Prepare the child for conscious sedation being used for the procedure. d. Reassure the parents that the test is simple, painless, and risk free.
A client in a long-term care facility is ordered to receive ranitidine (Zantac). When should the nurse administer this medication?
1. At bedtime with water 2. After the evening meal 3. Before eating in the morning 4. One hour before meals
The nurse mentions, "I like to use open-ended questions and statements because they result in fuller, more revealing responses by the client, and they stimulate discussion."
Based on this, which of the following is the nurse most likely to ask or say during client assess-ment? 1. "Where is your family?" 2. "Tell me about your family." 3. "Do you have a family?" 4. "Would you like to talk about your family?"