When administering a new medication to a client with celiac disease, the nurse should first check for any additives in the form of:
1. Sorbitol.
2. Gluten.
3. Lactose.
4. Sodium.
2
Rationale: Clients with celiac disease must adhere to a lifelong gluten-free diet and should not take medications with significant amounts of wheat extract or starch used as filler. Sorbitol is a sugar alcohol that can act as a laxative. Lactose can cause gastric symptoms in clients who are lactose intolerant. Hidden amounts of sodium can adversely impact clients with congestive heart failure (CHF) or renal disease.
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The Health Insurance Portability and Accountability Act (HIPAA) has identified eighteen personal health identifiers that need to be protected under this law. Which of the following is not one of these recognized personal health identifiers?
a. telephone numbers b. e-mail addresses c. hospital or facility admission dates d. number of items liked on Facebook or Pinterest
A client comes to the emergency department and reports that he is in extreme pain. Physical assessment reveals priapism. When obtaining the client's medication history, which of the following would the nurse expect the client to report using?
A) Tamsulosin B) Terazosin C) Tadalafil D) Tolterodine
A client with Cushing's syndrome was taught by the nurse about safety precautions to use at home. Which of the following comments indicates the client understands the instructions?
A) "I will be careful not to hurt myself, since I could break a bone easily." B) "I should avoid direct sunlight to prevent my skin from developing dark patches." C) "I should get up slowly from bed or my chair because I might faint." D) "I should learn some relaxation exercise so that I do not become suicidal."
A pregnant client tells the nurse that she has a 2-year-old child at home and expresses concern about how the toddler will adapt to a newborn infant being brought into the home. Which statement is the most appropriate response for the nurse to make to the client?
A. "Don't be concerned; any 2-year-old would welcome a newborn." B. "If your 2-year-old becomes angry or jealous, you should have the child seen by a child psychologist." C. "A 2-year-old toddler will be more concerned about exploring the environment, so there's no reason to be concerned." D. "Even though a 2-year-old may have little perception of time, if any changes in sleeping arrangements need to be made for the newborn they should be carried out several weeks before birth."