A client is ordered to receive gold therapy. The client asks how long it will take for him to feel the effects of this medication. The nurse teaches the client that gold medications:
a. achieve the desired effect in 1 to 2 months.
b. achieve the desired effect in 3 to 4 months.
c. alleviate symptoms immediately.
d. are effective within 7 days of therapy.
ANS: B
Gold therapy, or chrysotherapy, takes 3 to 4 months to reach effective levels.
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A nurse is caring for a client who has just experienced a 90-second tonic-clonic seizure. The client's arterial blood gas values are pH 6.88, PaO2 50 mm Hg, PaCO2 60 mm Hg, and HCO3- 22 mEq/L. Which action should the nurse take first?
a. Apply oxygen by mask or nasal cannula. b. Apply a paper bag over the client's nose and mouth. c. Administer 50 mL of sodium bicarbonate intravenously. d. Administer 50 mL of 20% glucose and 20 units of regular insulin.
The client is screaming at staff members. The caregiver approaches the client with a restraint in hand and he tells him that if he does not quiet down he will be tied to his bed. This an example of
1. fraud. 2. assault. 3. defamation. 4. malpractice.
Nursing interventions would include use of which medication for a child with eczema?
1. Hydrocortisone ointment 1% 2. Nystatin topical ointment 3. Lotrimin ointment 4. Silvadene cream
The nurse performs a medication history on a patient who will begin targeted therapy for cancer with gefitinib (Iressa). The nurse learns that the patient is taking carbamazepine, a histamine2 blocker, and warfarin
The nurse will anticipate that the provider will make which change to the medication regimen? a. decrease the gefitinib dose. b. decrease the warfarin dose. c. increase the histamine2 blocker dose. d. increase the carbamazepine dose.