The client has been placed on an enteric-coated medication. An appropriate action on the part of the nurse is to instruct the client to __________ the medication
a. weigh herself at the same time every day while on
b. drink at least eight glasses of water daily while on
c. adhere to a low-sodium diet while on
d. avoid eating fatty food before taking
ANS: D
Fatty foods decrease the absorption rate of enteric-coated tablets.
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When a nurse puts data together in a new way, the process is called:
a. analysis c. evaluation b. assessment d. synthesis
Which of the following describes a positive Romberg sign?
a. downward drift of right arm b. inability to run heel down c. unsteady after 10 seconds with eyes closed d. inability to walk in a straight line, touching heel to toe
The nurse is caring for a client after intrathecal administration of fentanyl. Which assessment indicates a need to notify the physician?
a. Respirations c. Sedation b. Mild itching d. Pressure with con-tractions
What type of vaginitis best describes her findings?
A 30-year-old paralegal analyst comes to your clinic, complaining of a bad-smelling vaginal discharge with some mild itching, present for about 3 weeks. She tried douching but it did not help. She has had no pain with urination or with sexual intercourse. She has noticed the smell increased after intercourse and during her period last week. She denies any upper respiratory, gastrointestinal, cardiac, or pulmonary symptoms. Her past medical history consists of one spontaneous vaginal delivery. She is married and has one child. She denies tobacco, alcohol, or drug use. Her mother has high blood pressure and her father died from a heart disease. On examination she appears healthy and has unremarkable vital signs. On examination of the perineum there are no lesions noted. On palpation of the inguinal nodes there is no lymphadenopathy. On speculum examination a thin gray-white discharge is seen in the vault. The pH of the discharge is over 4.5 and there is a fishy odor when potassium hydroxide (KOH) is applied to the vaginal secretions on the slide. Wet prep shows epithelial cells with stippled borders (clue cells). A) Trichomonas vaginitis B) Candida vaginitis C) Bacterial vaginosis D) Atrophic vaginitis