The physician orders bismuth subsalicylate (Pepto-Bismol) for your patient. What assessment is most important to make before administering this medication?
A) Assess for pain
B) Assess electrolytes
C) Assess for allergy to aspirin
D) Assess for allergy to opioids
C
Feedback:
Bismuth salts have antibacterial and antiviral activity. Bismuth subsalicylate contains salicylate, and the patient should be assessed for an aspirin allergy before administration. It is important to assess for pain and electrolyte balance, but this is not the primary assessment to be made. The nurse would not need to assess for allergy to opioids because bismuth does not contain opioids.
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a. Urge b. Functional c. Stress d. Mixed
Before administering enteral feeding, the nurse can ensure proper tube placement by
a. asking the client to swallow. b. auscultating the stomach as 10 ml of water is injected. c. extracting stomach contents from the tube. d. holding the end of the tube under water to check for bubbling.
A confused patient is admitted to the hospital after suffering a fall. When asked about pain, the patient does not respond. What action by the nurse is best?
a. Ask the patient again using different words. b. Pantomime what you are asking the pa-tient. c. Observe the patient's nonverbal behaviors. d. Ask the family members if they think the patient has pain.
The nurse is caring for a 28-year-old pregnant woman admitted to the hospital in labor at 42 weeks' gestation. Her pregnancy was uneventful except for 1+ protein in her urine on the last visit. Her blood pressure reading on admission is 140/88. Which of the following factors would cause the nurse to assess the client as high-risk during labor?
A) her age B) protein in the urine C) her gestation D) blood pressure reading