Before giving methenamine (Hiprex) to a patient, it is important for the nurse to review the patient's history for evidence of which problem?
a. Elevated blood urea nitrogen and creatinine
b. History of reactions to antibiotic agents
c. Possibility of pregnancy
d. Previous resistance to antiseptic agents
ANS: A
Methenamine should not be given to patients with renal impairment, because crystalluria can occur. There is no cross-reactivity between methenamine and antibiotic agents. Methenamine is safe for use during pregnancy. There is no organism drug resistance to methenamine.
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Which of the following is true regarding peritoneal dialysis?
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A 64-year-old male client, who leads a sedentary lifestyle, and a 31-year-old female client, who has a very stressful and active lifestyle, require a vaccine against a particular viral disorder
As the nurse, you would know that in one of these clients, the vaccine will be less effective. In which client is the vaccine more likely to be less effective and why? A) The male client because of his age B) The male client because of his lifestyle C) The female client because of her age D) The female client because of her lifestyle
Which techniques are therapeutic when interacting with a patient? Select all that apply
a. Avoiding direct questions b. Validating and clarifying c. Using empathy sparingly d. Assuming an attending posture e. Maintaining constant eye contact
A woman in labor has chosen to use hydrotherapy as a method of pain relief. Which statement by the woman would lead the nurse to suspect that the woman needs additional teaching?
A) "The warmth and buoyancy of the water has a nice relaxing effect." B) "I can stay in the bath for as long as I feel comfortable." C) "My cervix should be dilated more than 5 cm before I try using this method." D) "The temperature of the water should be at least 105° F."