The patient with asthma is prescribed a leukotriene modifier drug, montelukast (Singulair). Which statement describes an advantage of this medication?
a. Limited gastrointestinal (GI) side effects
b. Bronchodilation and anti-inflammatory effects
c. Stringent control of acute episodes of asthma
d. Ability to replace all other asthma reme-dies
B
Singulair provides both bronchodilation and anti-inflammatory effects, but it has numerous GI side effects and is not effective in controlling acute asthmatic attacks.
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A patient has lost most of her vision as a result of macular degeneration. When attempting to meet this patient's psychosocial needs, what nursing action is most appropriate?
A) Encourage the patient to focus on her use of her other senses. B) Assess and promote the patient's coping skills during interactions with the patient. C) Emphasize that her lifestyle will be unchanged once she adapts to her vision loss. D) Promote the patient's hope for recovery.
The nurse has visualized a patient's optic disc using an ophthalmoscope. Which finding would the nurse evaluate as normal?
1. The optic disc is circular in shape. 2. The margins of the disc blur into the surrounding tissues. 3. The disc has a distinct bluish color. 4. There is a depression on the side of the disc.
A client with depression and substance abuse has an interrupted sleep pattern. The client demands that her psychiatrist prescribe her a sedative
What teaching should a nurse provide regarding the rationale for the use of nonpharmacologic interventions instead? A) Sedative-hypnotics are potentially addictive and gradually lose their effectiveness as one builds up tolerance to them. B) Sedative-hypnotics work best in combination with other techniques. C) Sedative-hypnotics are not permitted for use in patients with substance abuse disorders. D) Sedative-hypnotics are not as effective as the antidepressant medications for treating sleep disturbances.
The nurse performing a breast examination is palpating the tail of Spence. Why is it appropriate to palpate this area of the breast during an examination?
A. Peau d'orange may occur in this area of the breast. B. It can show the difference between fibrocystic disease and fibroadenomas. C. Breast cancer occurs more frequently in this area. D. It does not contain any lymph nodes.