Cushing syndrome can affect memory. Patients can easily forget what medications have been
taken, especially when there are several different medications and some are taken on
alternating days. List at least three ways you can help J.S.
remember to take his medications
as prescribed.
• Help him develop a checklist or use a pocket calendar to monitor his medications; this could also
be useful in monitoring weight, blood pressure (BP), glucose, and symptoms.
• Recommend a divided container in which pills can be placed in advance; this way, J.S. can
immediately see whether he has forgotten to take the pills assigned for a specific date and time.
• Help J.S. develop a plan whereby he takes his medications at times of the day related to other
activities, such as with meals or when he brushes his teeth at night.
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A nurse is caring for a female patient who has developed atelectasis because of thick mucus secretions. The nurse is monitoring IV administration of acetylcysteine (Mucomyst) and notices that the patient's face is flushed
The appropriate nursing action would be to A) stop the administration of acetylcysteine. B) slow the administration of acetylcysteine and administer diphenhydramine if ordered. C) remove any residual drug from the patient's face. D) dilute the acetylcysteine solution.
A nurse manager is directing a team of staff nurses working to solve a clinical problem using evidence-based practice (EBP)
Which manager statements would direct these nurses to the forms of strongest clinical evidence? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "We may find studies that use only one group of subjects." 2. "Look for articles that report on how to use evidence in other clinical situations." 3. "The studies we want are built around the scientific approach to solving problems." 4. "Our focus should be on studies that use both experimental and control groups to determine intervention effectiveness." 5. "Many articles will have information reported by someone who is an expert in the field."
In a patient who loses bicarbonate from the body, how does it get replaced?
A) The renal tubules secrete new bicarbonate into the urine. B) The juxtaglomerular cells secrete new bicarbonate into the blood. C) The juxtaglomerular cells generate new bicarbonate. D) Renal tubular cells generate new bicarbonate.
The nurse is making recommendations to an older patient's plan of care for safety measures. Which musculoskeletal change should the nurse consider as contributing to a reduction in the older adult's ability to safely perform routine tasks?
a. Increased reflexes b. Increased joint flexibility c. Rapid nerve transmissions d. Slower muscle response time