A patient is taking modafinil (Provigil) for narcolepsy. Which precaution is most important for the nurse to teach the patient?
a. "Take this drug 1 hour before or 2 hours after a meal."
b. "Report episodes of sleepwalking to your prescriber."
c. "Check your pulse for rate and regularity twice daily."
d. "Avoid eating grapefruit or drinking grapefruit juice."
D
The substances in grapefruit and grapefruit juice decrease the activity of the enzymes involved in the metabolism of modafinil. As a result, the drug blood level stays high longer, increasing the risk for side effects and adverse effects.
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Which of the following would a community health nurse identify as important to sending skills involved with communication?
A) Active listening B) Paraphrasing C) Nonverbal messages D) Rapport
A nurse is conducting a class on how to self-manage insulin regimens. A patient asks how long a vial of insulin can be stored at room temperature before it "goes bad." What would be the nurse's best answer?
A) "If you are going to use up the vial within 1 month it can be kept at room temperature." B) "If a vial of insulin will be used up within 21 days, it may be kept at room temperature." C) "If a vial of insulin will be used up within 2 weeks, it may be kept at room temperature." D) "If a vial of insulin will be used up within 1 week, it may be kept at room temperature."
The nurse is caring for two postoperative patients who have had caesarean sections. One had surgery under spinal anesthesia and the other under epidural anesthesia
What are some important differences the nurse should be aware of when caring for these two patients? Note: Credit will be given only if all correct answers and no incorrect answers are selected. Select all that apply. 1. The level of pain relief is lower with spinals. 2. Placement of the needle is higher with epidurals. 3. Epidurals do not fully sedate motor nerves. 4. Spinal patients complain of nausea and vomiting. 5. Spinal anesthesia patients complain of headache if they sit up too soon.
Seeing a patient with his head in his arms resting on the over-the-bed table, the nurse steps into the room and asks if the patient feels ill. The patient, without raising his head, says, "I'm fine." The nurse should:
a. sit down next to the bed and say, "You don't act fine." b. pat him on the shoulder and continue on rounds. c. say, from the doorway, "If you need anything, just call me." d. assist the patient to sit up and say, "Now, that's much better, isn't it?"