Which precaution is most important for the nurse to teach a patient who is newly prescribed a thyroid hormone replacement drug?
a. "Avoid taking fiber supplements while on this drug."
b. "Be sure to take this drug at the same time every day."
c. "Weigh yourself daily and keep a record of these weights."
d. "Do not increase the dose without your prescriber's knowledge."
D
When a patient begins treatment with thyroid replacement drugs, the starting drug dosage is very low, with no attempt to bring the blood thyroid hormone level back to normal quickly. These drugs can change metabolism quickly and lead to adverse effects such as heart attack or seizure. Dosages start low and are raised very slowly (about every 3 weeks). The patient should never increase the dose unless instructed to do so by the prescriber.
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A hospital is considering implementing the use of critical pathways and case management
Which statements by a nurse would indicate to the nurse manager that more education should be provided? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "If we use critical pathways, we won't have physical therapy to help us ambulate clients." 2. "If a client is not able to follow the critical pathway, a variance will be written." 3. "The critical pathway lists discharge outcomes but won't help us with day-to-day guidance of care." 4. "Once the client is on a critical pathway, we must follow it until discharge." 5. "Using critical pathways will help us reduce length of stay and costs to the client."
Place the following "rights" of medication administration in the order they would be performed by a nurse who is administering a drug to the client
Click on the down arrow for each response in the right column and select the correct choice from the list. Response 1. Right medication Response 2. Right to refuse Response 3. Right documentation Response 4. Right client Response 5. Right route
A nurse is discussing the differences between OxyContin OC and OxyContin OP with a group of nursing students. Which statement by a student indicates understanding of the teaching?
a. "OxyContin OC cannot be drawn into a syringe for injection." b. "OxyContin OP has greater solubility in water and alcohol." c. "OxyContin OP is not easily crushed into a powder." d. "Patients using OxyContin OP are less likely to overdose."
A patient, with an inability to swallow following a stroke, is receiving full-strength formula through a nasogastric feeding tube and is experiencing diarrhea. Which is the most likely cause of the diarrhea?
A) Osmotic causes B) Secretory causes C) Inflammatory bowel D) Motility causes