A male client states to the nurse, "I am going to stop taking my metoprolol (Lopressor). I have been experiencing problems having sex." Which responses should the nurse include in the discussion with the client?
A. "I understand sexual dysfunction can be a common problem with this drug."
B. "Perhaps it would be better if you took atenolol (Tenormin)."
C. "I cannot stop you from discontinuing the drug."
D. "Stopping the prescription abruptly may cause your blood pressure to elevate even higher."
E. "Try taking the drug early in the morning."
Answer:
A. "I understand sexual dysfunction can be a common problem with this drug."
D. "Stopping the prescription abruptly may cause your blood pressure to elevate even higher."
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A nurse is instructing a colleague on how an antimicrobial produces a therapeutic effect. Which of the following should be included in the nurse's teaching?
A) The first drugs used to treat infections date back to the 17th century. B) Fluoroquinolones interfere with the growth and development of the bacteria cell wall. C) Selective toxicity determines the appropriate drug dosage needed. D) Penicillin interferes with synthesis of the bacteria cell wall.
What statement by the client indicates a need for additional teaching about his or her spinal cord tumor and treatment?
A. "I know that because my symptoms occurred so quickly, I am likely to be cured quickly by surgery." B. "I understand that radiation therapy can shrink the tumor but that radiation can cause more problems, too." C. "I am glad you are here to turn me—laying in one position for long makes my pain worse, even if turning is uncomfortable." D. "My family is making some changes at home for me, including moving my bed-room downstairs."
A nurse manager wants to ensure appropriate delegation to a staff member. To do that, the manager should be familiar with all but which of the following?
a. The job description for the staff member b. The educational background of the staff member c. The skills checklist or certifications of the staff member d. The attitudes of other staff toward that staff member
What two therapies from Nursing Interventions Classification (NIC) are used during every interaction with clients?
a. active listening and presence b. coping enhancement and emotional support c. assertiveness training and cognitive restructuring d. teaching of prescribed medications and body image enhancement