Allopurinol (Zyloprim) has been ordered for a patient receiving treatment for gout. The nurse caring for this patient would know that what laboratory finding would indicate bone marrow suppression in this patient?
A) Hyperuricemia
B) Increased erythrocyte sedimentation rate
C) Elevated serum creatinine
D) Decreased platelets
Feedback: Thrombocytopenia occurs in bone marrow suppression. Hyperuricemia occurs in gout, but is not caused by bone marrow suppression. Increased sedimentation rate may occur from inflammation associated with gout, but is not related to bone marrow suppression. An elevated serum creatinine level may indicate renal damage associated with systemic lupus erythematosus.
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A client is brought to a health care facility for treatment of a bleeding cut. The client was injured by a sharp knife. How can the nurse most accurately describe the client's wound?
A) A clean separation of skin and tissue with smooth, even edges. B) A shallow crater in which skin or mucous membrane is missing. C) A wound in which the surface layers of the skin are scraped away. D) A separation of skin and tissue in which the edges are torn and irregular.
Which of the following is a feature of physical dependence in substance abusers?
A. Tolerance B. Compulsive behavior C. Withdrawal D. A and C
The newly hired nurse notices that coworkers routinely pray with clients and their families. The nurse has never been particularly religious or spiritual and is unaccustomed to praying, but holds no strong feeling against prayer
What is the best strategy for the nurse to plan for such situations? 1. Try to ensure assignment to clients who are unlikely to request prayer. 2. Arrange to have a coworker substitute for the nurse in these prayer situations. 3. Memorize two or three short, formal prayers to use when prayer is requested. 4. Just stand silently at the bedside and let others in the room do the praying.
An adult outpatient diagnosed with major depression has a history of several suicide attempts by overdose. Given this patient's history and diagnosis, which antidepressant medication would the nurse expect to be prescribed?
a. Amitriptyline (Elavil), a sedating tricyclic medication b. Fluoxetine (Prozac), a selective serotonin reuptake inhibitor c. Desipramine (Norpramin), a stimulating tricyclic medication d. Tranylcypromine sulfate (Parnate), a monoamine oxidase inhibitor