A prescribed medication is not producing the expected therapeutic effect in an older patient. What should the nurse do first in response to this finding?
1. Document that the patient has not been taking the medication.
2. Discuss changing the medication with the healthcare provider.
3. Ask if the patient has enough money to buy food and medicine.
4. Review the patient's current diet to determine food-drug interactions.
3
Rationale: The nurse does not know if the patient has not been taking the medication. This is an inappropriate action by the nurse.
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A pregnant woman is confused about the terms "embryo" and "fetus." How does the nurse explain the difference?
A. "The baby can't be called a fetus until the limbs and organs have formed." B. "The baby is an embryo until 8 weeks' gestation; then it is called a fetus." C. "There really isn't any difference between the terms; they are interchangeable." D. "Your baby is a fetus until the kidneys are matured and he makes urine."
An older patient is being treated for glaucoma with Timoptic. Which assessment finding indicates an adverse effect associated with the medication?
1. Diarrhea 2. Slow heart rate 3. Excessive salivation 4. Reduced urinary output
The nurse is reviewing synchronized cardioversion with a new graduate. What will the nurse include when reviewing this procedure? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. The shock is synchronized with the QRS complex. 2. The shock will occur on the R wave. 3. A sedative will be provided before the procedure. 4. Pain medication will be provided before the procedure. 5. The shock will occur on the T wave.
Which of the following therapies may potentiate digoxin's toxicity by increasing digoxin binding to its targeting site [hint: alteration in plasma K+ concentration]?
A. Verapamil B. Amiodarone C. Thiazides D. Spironolactone E. Triamterene