A nurse is caring for a stroke victim in the intensive care unit. The nurse notices a cold sore and requests medication. Docosanol (Abreva) is ordered. Before applying the medication, the nurse would first?
A) Clean the area to be treated and then pat it dry.
B) Assess the area for open lesions or abrasions.
C) Put gloves on to protect herself.
D) Prepare applicator for drug administration.
B
Feedback:
The nurse would assess the area first to make sure no open lesions or abrasions could allow for systemic absorption of the drug. Then the nurse would clean the area and pat it dry. The nurse may apply the medication using gloves or an applicator.
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Mrs. Jones has been taking chlorpromazine to combat the effects of her auditory hallucinations. Which response is the best indication that the medication is effective?
A. "There is more than one voice now!" B. "They are whispering instead of talking loudly now!" C. "I don't hear the voices now!" D. "I only hear them sometimes now."
The nurse has decided to add a nursing diagnosis to the client's drug therapy plan of care that represents wellness/health promotion. What is the most appropriate diagnosis to add to promote these areas?
a. Ineffective health maintenance related to not having recommended preventive care b. Risk for injury related to side effect if drugs c. Therapeutic regimen management, readiness for enhanced d. Ineffective therapeutic regimen management related to lack of finances
With aging, changes occur in the gastrointestinal system. Which is correct?
a. Taste is enhanced. b. The sense of smell is sharper. c. Appetite decreases. d. Secretion of digestive juices increases.
A patient taking misoprostol (Cytotec) to treat a gastric ulcer reports recurrent diarrhea. The nurse should encourage this patient to
a. immediately discontinue misoprostol (Cytotec). b. take with a magnesium-containing antacid. c. omit fresh fruits from diet. d. take medication with meals.