A patient takes an antispasmodic and an occasional antidiarrheal medication to treat IBS. The patient comes to the clinic and reports having dry mouth, difficulty urinating, and more frequent constipation
The primary care NP notes a heart rate of 92 beats per minute. The NP should: a. prescribe a TCA.
b. discontinue the antidiarrheal medication.
c. encourage the patient to increase water intake.
d. lower the dose of the antispasmodic medication.
D
Patients taking antispasmodic medications should be monitored for anticholinergic side effects, such as increased heart rate, dry mouth, difficulty urinating, and constipation. The NP should lower the dose if needed. TCAs are used to treat pain long-term. Because the antidiarrheal medication is used as needed, there is no reason to discontinue it. Increasing water intake may improve symptoms associated with side effects but would not treat the underlying cause of these symptoms.
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Andrea, the charge nurse, spoke to the director of nursing about one of the staff nurses having a crisis. The nurse suggested a crisis intervention group to the staff nurse. Crisis intervention groups are successful because:
A. The crisis intervention worker is a psychologist and understands the presenting behavior patterns. B. They supply a workable solution to the patient's problem. C. The patient is encouraged to share with others about personal problems. D. The patient is assisted to develop new insights and return to the precrisis phase.
Select the best time for the nurse to administer a PRN dose of morphine sulfate, 5 mg IV, to a client who is experiencing leg pain after an open reduction for a fractured femur
a. When the pain is in the moderate to severe range b. When the pain first starts, before it be-comes severe c. No more than every 6 hours to prevent morphine addiction d. Regularly every 4 hours
A patient is diagnosed with an open compound fracture and is scheduled for immediate surgery. On which problem should the nurse focus during the patient's immediate postoperative period?
A. Potential for infection B. Possibility of falling C. Difficulty with mobility D. Anxiety related to the surgical procedure
An infant of a diabetic mother (IDM) weighing 11 lb is prescribed to receive an infusion of dextrose 10% and water at the rate of 5 mg/kg/min until blood glucose level remains about 45 mg/dL. How many milligrams of dextrose will the infant receive in 30 minutes? (Calculate to the nearest whole number.)
What will be an ideal response?