A patient prescribed niacin extended action (Niaspan) reports all of the following new onset problems. For which problem does the nurse notify the prescriber?
a. Moderate itchiness, especially at night
b. Six to seven loose stools daily
c. Increased nighttime urination
d. Swollen, painful great toe
D
One adverse reaction to niacin is an increase in uric acid crystals and calcium that can precipitate in joints and cause gout. The great toe is one of the most common sites of gout. The condition is painful and reduces mobility. Usually, the patient can continue the niacin therapy along with another drug that reduces uric acid production. Drinking plenty of water can also reduce the pre-cipitation of uric acid.
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Ethical nursing care may require that the LPN
a. Practice outside of the legal scope of practical nursing practice b. Examine his or her personal beliefs and values c. Compromise the rights of residents as out-lined in the Patient's Bill of Rights d. Practice outside of the facility's policies and procedures
Public health nursing is distinguished from other specialties by the adherence to eight principles. Which is one of the eight domains of public health nursing practice?
A) Analytic assessment skills B) Investigate new referrals as soon as possible C) Assist physicians with surgery in the home D) Hold family matters in confidence
The nurse is reviewing laboratory results for a client with a low level of intrinsic factor. Which blood smear report would help confirm the medical diagnosis of pernicious anemia?
1. Macrocytic and hypochromic red blood cells 2. Macrocytic and normochromic red blood cells 3. Microcytic and hypochromic red blood cells 4. Normocytic and normochromic red blood cells
Approximately 40% to 60% of the fetal blood bypasses the liver through the ductus venosus and then enters which structure?
A) Left atrium B) Inferior vena cava C) Right atrium D) Superior vena cava