Donald has been diagnosed with hyperlipidemia. Based on his lipid profile, atorvastatin is prescribed. Rhabdomyolysis is a rare but serious adverse response to this drug. Donald should be told to:
1. Become a vegetarian because this disorder is associated with eating red meat.
2. Stop taking the drug if abdominal cramps and diarrhea develop.
3. Report muscle weakness or tenderness and dark urine to his provider immediately.
4. Expect "hot flash" sensations during the first 2 weeks of therapy.
3
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The nurse is part of the health care team at an oncology center. A patient has been diagnosed with leukemia and the prognosis is poor, but the patient is not yet aware of the prognosis. How can the bad news best be conveyed to the patient?
A) Family should be given the prognosis first. B) The prognosis should be delivered with the patient at eye level. C) The physician should deliver the news to the patient alone. D) The appointment should be scheduled at the end of the day.
The hospice nurse is caring for a terminally ill patient. The patient's son is distraught because the patient will probably die within the next few days and there is nothing he can do about it
What is the most appropriate nursing diagnosis for the patient's son at this time? a. Chronic sorrow r/t impending death of mother b. Impaired religiosity r/t difficulty adhering to religious beliefs c. Powerlessness r/t progression of mother's terminal illness d. Complicated grieving r/t desired avoidance of mourning
The nurse is teaching the student nurse the physiology involved in pain transmission. Which of the following statements accurately describes a physiologic event in the nervous system related to pain transmission? Select all answers that apply
A) Thermal stimulation may involve the release of mediators, such as histamine, prostaglandins, leukotrienes, or bradykinin. B) When nociceptors are activated by noxious stimuli, the stimuli are converted to electrical impulses that are relayed to the spinal cord and brain. C) Myelinated A-delta fibers are large fibers that conduct the impulse at very rapid rates; unmyelinated small C fibers transmit the impulse slowly. D) Once in the dorsal horn of the spinal cord, the nerve fibers divide and then cross to the opposite side and rise upward to the thalamus. E) The point at which the person first feels the highest intensity of the painful stimulus is termed the pain threshold. F) Peripheral sensitization allows the nerve fibers to react to a stimulus that is of lower intensity than would be needed to cause pain.
Patients may have difficulty remembering to take prescribed drugs. Which method will assist the patient in adhering to the drug regimen?
a. Use a drug diary to record all drug doses taken. b. Perform pill counts every evening to check for missed doses. c. Schedule drug administration to coincide with meals or other routine activity. d. Have a community health care provider make a daily visit to administer the drugs.