A client with very high serum triglyceride levels is prescribed the fibric acid derivative clofibrate. The nurse understands that this drug would be contraindicated if the client has which condition?
A) Endocrine disorder
B) Primary biliary cirrhosis
C) Arterial bleeding
D) Respiratory depression
Ans: B
Feedback:
The fibric acid derivative clofibrate is contraindicated in clients with primary biliary cirrhosis. The use of clofibrate is not contraindicated in clients with an endocrine disorder. The HMG-CoA reductase inhibitors are used with caution in clients with a history of endocrine disorders. Niacin is contraindicated in clients with arterial bleeding. The fibric acid derivative clofibrate is not contraindicated in clients with respiratory depression.
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A) "Preoperative medications decrease saliva production but it is temporary and will improve." B) "This is the result of all of the blood and fluid you lost during surgery." C) "You are probably dehydrated. The IV fluids you are receiving will correct the problem." D) "The preoperative medication causes an electrolyte imbalance making your mouth feel dry."
A client presents to labor and delivery for evaluation. Upon placing her on the monitor, you find the fetal heart rate to be consistently 170 to 180 bpm. What should the nurse do first?
a. Apply a fetal scalp electrode. b. Apply oxygen at 10 liters per minute by face mask. c. Prepare for cesarean delivery. d. Take the mother's temperature.
A client has an order for a new medication. When preparing to administer the medication to the client for the first time, the nurse gets ready to educate the client and the client's daughter about the medication
When educating the client and the daughter, the nurse should do all of the following except a. observe the client before implementing teaching and gear teaching strategies to meet the individual needs of the client. b. direct instructions to the client's daughter. c. draw on the client's experiences and interests in planning teaching. d. make the teaching session short enough to avoid tiring the client.
The nurse practitioner demonstrates an understanding of primary prevention of falling among the elderly through which management plan?
A. Evaluate a need for assistive devices for ambulation after the client has been injured from a fall. B. Provide resources to correct hazards contributing to falls in the home environment. C. Reinforce the need to use prescribed eyeglasses to prevent further injury from falls. D. Provide information about medications, side effects, and interactions.