The pregnant client has moved to the United States from another country. She states that her grandmother has provided herbs for her to take during pregnancy. The client asks the nurse if the herbs are safe. How should the nurse respond?
A. "Some herbs are not safe for use during pregnancy."
B. "Herbal supplements during pregnancy do not cause problems."
C. "Your grandmother wouldn't give you anything that was dangerous."
D. "Natural supplements should not be used during pregnancy or labor."
A
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An ICU nurse manager states, "The hospital has a union but I wouldn't advise joining," to a newly hired nurse. The human resources (HR) director is informed of this comment. How should the HR director respond?
1. Call the new nurse and explain that joining the union is encouraged by the hospital. 2. Remind the manager that there is to be no interference with an employee's decision to join the union. 3. File a grievance against the manager. 4. Terminate the manager.
The pain management team individualizes the analgesic regimen by guiding the adjustment of medication, dose, time intervals, and route of administration
When discussing this method of treating pain, which term is the most appropriate for the nurse to use? 1. Polypharmacy 2. Equianalgesia 3. Analgesia 4. Dose-reduction pharmacology
An older patient has been reading about the use of melatonin for sleep. Which statement indicates that the patient needs more instruction about this pharmacological agent?
1. "Melatonin is a hormone my body makes." 2. "Nausea is a side effect associated with melatonin." 3. "Older adults may have reduced levels of melatonin." 4. "I will need to have a prescription from my physician to obtain it."
A patient has a cancer that has been TNM staged as T3 (1-4, size of primary tumor), N2 (0-3, degree of spread to regional lymph nodes), and M2 (0-1, presence of metastasis)
He has an as needed order of 4 mg of morphine intramuscularly every 3 to 4 hours. He requests another pain injection approximately hours after the last one. What is the most appropriate nursing action? a. Inform the patient that this narcotic may be given only every 4 hours to prevent addiction. b. Ignore the call bell for 20 minutes and then take at least 10 minutes to prepare and administer the injection. c. Give the morphine and evaluate the results of pain relief. Arrange for the physician to evaluate for breakthrough pain. d. Ask the family to assist in helping the pa-tient accept waiting longer to receive an addicting medication such as morphine.