A patient takes oxycodone (OxyContin), 40 mg PO twice daily, for the management of chronic pain. Which intervention should be added to the plan of care to minimize the gastrointestinal adverse effects?
A) Take an antacid with each dose.
B) Eat foods high in lactobacilli.
C) Take the medication on an empty stomach.
D) Increase fluid and fiber in the diet.
Answer: D) Increase fluid and fiber in the diet.
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A patient in the ICU has entered a coma state, and someone must make a decision about whether to continue life-supporting measures for the patient. No living will exists for this patient. Who is the person legally authorized to make this decision?
A) The patient's wife, who is the executor of his estate B) The patient's brother, who is his designated health care proxy C) The patient's physician, who has been managing his care from admittance D) The patient's nurse, who has been assigned to him on a daily basis
A 13-year-old patient is admitted to the hospital. There is no medical restriction on visitation. To help maintain the patient's social identity while hospitalized, it is most important for the nurse to encourage visits by:
1) Peers. 2) Grandparents. 3) Siblings. 4) Parents.
The nurse explains to a student nurse that a medication's effects may be local or systemic. Which of the following would be most likely to produce a local effect?
A) Anti-inflammatory creams B) Rectal suppositories C) Antibiotic injection D) Meter-dosed inhalers
The second-year nursing student is in her clinical rotation on a medical-surgical unit. What is the most appropriate strategy that the student can use to assist her in organizing and prioritizing patient care for the day?
a. Ask the nurse what tasks need to be completed for the day b. Make a time-sequenced "to do" list for her activities for the day c. Ask the instructor what needs to be completed for the day d. Ask the patient what needs to be completed for the day