The client receives a nonsteroidal anti-inflammatory drug (NSAID) for treatment of arthritis. What is a priority for the nurse to include when doing medication education?
1. "Constipation is common; include roughage in your diet."
2. "Drink at least eight glasses of water a day."
3. "Take your medication with food."
4. "Take your medication on an empty stomach."
2
Rationale 1: Constipation is not an issue with nonsteroidal anti-inflammatory drugs (NSAIDs).
Rationale 2: Nonsteroidal anti-inflammatory drugs (NSAIDs) are nephrotoxic; keeping the client well hydrated will help prevent kidney damage.
Rationale 3: Taking the medication with food will decrease gastrointestinal (GI) irritation, but kidney damage is more of a priority.
Rationale 4: Taking the medication on an empty stomach will increase gastrointestinal (GI) irritation.
Global Rationale: Nonsteroidal anti-inflammatory drugs (NSAIDs) are nephrotoxic; keeping the client well hydrated will help prevent kidney damage. Constipation is not an issue with nonsteroidal anti-inflammatory drugs (NSAIDs). Taking the medication with food will decrease gastrointestinal (GI) irritation, but kidney damage is more of a priority. Taking the medication on an empty stomach will increase gastrointestinal (GI) irritation.
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When comparing arterial, central venous, and pulmonary arterial pressures, the nurse keeps which factor in mind?
1. It is not a good idea to measure the patient's blood pressure from the arterial waveform tracing. 2. The pressures in the superior and inferior vena cava are lower than the pressure in the right atrium of the heart. 3. The normal pressure in the right atrium of the heart is very low, 4 to 6 mmHg. 4. The small vessels of the pulmonary arteries are under more pressure than systemic arterial blood pressure.
Due to health concerns for high-risk populations, Healthy People 2020 includes as one of its main goals
A. To provide better insurance programs B. To have collaboration among governmental agencies C. To provide access to preventive health-care services D. To improve assessment of services
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Indicate whether the statement is true or false.
A patient who develops chest pain that radiates down the left arm has all of these measures prescribed. Which one should the nurse do first?
a. Administer nitroglycerin SL. b. Repeat vital signs. c. Apply oxygen at 2 L/min. d. Obtain an electrocardiogram (ECG).