A woman is in her first trimester of pregnancy. She tells the primary care nurse practitioner (NP) that she continues to have severe morning sickness on a daily basis. The NP notes a weight loss of 1 pound from her previous visit 2 weeks prior
The NP should consult an obstetrician and prescribe: a. aprepitant (Emend).
b. ondansetron (Zofran).
c. scopolamine transdermal.
d. prochlorperazine (Compazine).
B
No antiemetic drugs should be used for nausea and vomiting during pregnancy unless approved by an obstetrician. Ondansetron has been shown to be safe and effective (off-label) for hyperemesis gravidum.
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A physician documents that a patient is having purulent drainage from a wound. The nurse understands that this is most likely caused by:
a. ringworm. b. viral infection. c. fungal infection. d. bacterial infection.
A client was admitted after being injured in a fight outside a bar. The nurse asks, "Why were you in a bar?" This is an example of which barrier to therapeutic communication?
1. Challenging 2. Rejecting 3. Stereotyping 4. Probing
A woman calls the clinic office and asks the nurse why she is having spotting between her monthly periods when she is taking birth control pills to control the menorrhagia. What is the nurse's most appropriate response?
a. "It is important to take the pill at the same time each day." b. "Irregular spotting is to be expected with oral contraceptives." c. "The pills are still safe. Continue to take them, regardless." d. "Physicians are still uncertain as to how oral contraceptives function."
Which client is at greatest risk for developing hypercalcemia?
a. Client taking furosemide (Lasix) for heart failure b. Client with long-standing osteoarthritis c. Woman who is pregnant with twins d. Client with hyperparathyroidism