The client receives H2-receptor antagonists for treatment of peptic ulcer disease (PUD). Which assessment finding should be reported immediately to the physician?
1. The client reports he is constipated.
2. The client reports pain after 24 hours of treatment.
3. The client reports episodes of melana.
4. The client reports he took the antacid Tums with his H2-receptor antagonist.
Correct Answer: 3
Rationale 1: Constipation is a common side effect that does not need to be immediately reported to the physician.
Rationale 2: The client may still experience pain for several days with this type of medication.
Rationale 3: Melana could indicate GI bleeding and should be reported to the physician immediately.
Rationale 4: Taking Tums with an H2-receptor antagonist will cause deceased absorption of the H2-receptor antagonist, but this does not need to be reported to the physician; the nurse should educate the client.
You might also like to view...
Which of these statements about marijuana use in the United States is TRUE?
a. Marijuana use has never been legal. b. Marijuana can be obtained today with a health care provider's prescription. c. Marijuana could be prescribed legally until 1941. d. Recreational marijuana use is legal in some states today.
One aspect of professional behavior includes the participation in professional organizations. Which of the following organizations is not available to the student nurse?
1. National Federation of Licensed Practical Nurses (NFLPN) 2. American Nurses Association (ANA) 3. The National Student Nurse Association (NSNA) 4. Health Occupations Students of America (HOSA)
A multigravida gave birth to an 18 week fetus last week. She is in the clinic for follow-up, and notices that her chart states she has had one abortion. The client is upset over the use of this word
How can the nurse best explain this terminology to the client? A. "Abortion is the medical term for all pregnancies that end before 28 weeks." B. "Abortion is the word we use when someone has miscarried." C. "Abortion is how we label pregnancies that end in the second trimester." D. "Abortion is what we call all babies who are stillborn."
When documenting for the client who is wearing antiemboli stockings, which item is not required in the documentation?
1. When the stockings are removed 2. When the stockings are reapplied 3. Circulation and skin assessment findings 4. When the stockings are laundered