A home care nurse is completing a follow-up visit of an 82-year-old client who is taking MS Contin for pain related to prostate cancer. During the visit, the client describes decrease in appetite and difficulty having a bowel movement
The client states the symptoms have developed gradually during the past 3 days. What interventions would the nurse take?
A) send the client to the emergency department for evaluation
B) ask the wife to prepare the client's favorite foods
C) ask the client for the medication list and review how the client is taking pain medications
D) tell the client that this is normal and should not be a concern unless it lasted longer than a week
C
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Which of the following clients is most at risk for developing aphthous stomatitis?
A. 32-year-old woman in the luteal phase of the menstrual cycle B. 23-year-old woman in the first trimester of pregnancy C. 53-year-old man who eats spicy foods D. 72-year-old man who wears dentures
The nurse inspecting the optic disc of a child with intracranial hemorrhage would find:
a. the disc to be edematous and larger than usual b. the margins of the optic disc to be poorly defined (blurred) c. a small-sized disc d. the color of the disc to be bright red and darker than usual
A prescriber has just ordered a medication for a patient and has ordered a larger dose than is normally indicated. The patient questions the nurse and asks why the dose is so large. The nurse would be correct to explain that
a. the initial dose is sometimes higher to reach a therapeutic level more quickly. b. an average effective dose is important to evaluate the response. c. an initial dose will mean a half dose of subsequent medication. d. all patients receive a high initial dose.
You assess the child who has not been using the prescribed Flovent inhaler. The parents tell you that they do not know much about the medication. Which teaching point is most important to stress with the parents?
A.Monitoring of the child's growth rate is needed since steroids may slow the growth rate. B.Flovent must be used twice daily to be effective in preventing asthma symptoms. C.Early-onset osteoporosis may occur because steroids affect bone metabolism. D.Increases in the Flovent dose will probably be needed as the child grows.