A patient will begin taking dimercaprol [BAL in Oil] for arsenic poisoning. The nurse performs a medical history on this patient. Which aspect of the patient's history would cause the most con-cern?
a. Anemia
b. Lead exposure
c. Peanut allergy
d. Peptic ulcer disease
C
Dimercaprol is formulated in peanut oil and should not be given to patients with peanut allergy. A history of anemia, previous lead exposure, or peptic ulcer disease are not contraindications to treatment with this drug.
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Health care regulatory agencies, national think tanks, and government agencies expect health care organizations to incorporate cultural competence into policies and practices to ensure effective communication, patient safety and quality, and patient-
centered care. Some examples of such organizational policies and practices include which of the following? (Select all that apply.) a. Instituting a requirement for all staff to be trained in cultural competence b. Maintaining the traditional description of family in written policies c. Enforcing strict visitation policies and practices d. Ensuring that persons who are deaf or speak limited English have access to an interpreter e. Embedding health literacy principles in written and verbal communication
In the following clinical question, what is the Comparison (C component): Does chronic stress affect inflammatory responses in older men with atherosclerotic disease?
A) Chronic stress B) Inflammatory response C) Atherosclerotic disease D) There is no "C" component
The mechanism of action of tricyclic antidepressants is to:
a. release more serotonin and norepinephrine b. block the re-uptake of serotonin and norepinephrine c. block the breakdown of serotonin and norepinephrine d. inhibit the uptake of dopamine
When caring for a client who is experiencing continuous severe pain, the nurse should expect that the pain management plan would include:
1. Focusing on intramuscular administration of analgesics 2. Waiting for pain to become more intense before administering opioids 3. Administering opioids with nonopioid analgesics for severe pain experiences 4. Administering large doses of opioids initially to clients who have not taken the medications before