The home health nurse is visiting a client for the first time. While assessing the client's medications, it is noted that there are at least 15 prescriptions and several over-the-counter medications that the client has been taking
Which intervention should the nurse take first?
A) Check for drug-drug interactions.
B) Determine whether there are any adverse side effects.
C) Determine whether there are any medication duplications.
D) Call the prescribing physician and report any polypharmacy.
C
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A nurse cares for a client who states, "My husband is repulsed by my colostomy and refuses to be intimate with me." How should the nurse respond?
a. "Let's talk to the ostomy nurse to help you and your husband work through this." b. "You could try to wear longer lingerie that will better hide the ostomy appliance." c. "You should empty the pouch first so it will be less noticeable for your husband." d. "If you are not careful, you can hurt the stoma if you engage in sexual activity."
The nurse is administering an intravenous antibiotic infusion over 30 minutes for a patient with cellulitis of the left lower extremity. The patient states, "I am itching all over and am having trouble swallowing
" What priority interventions by the nurse are necessary for this patient? Select all that apply. A) Stop the antibiotic infusion. B) Administer subcutaneous epinephrine. C) Administer diphenhydramine (Benadryl) IV. D) Switch to amoxicillin by mouth. E) Administer Ativan for the patient's anxiety.
A nurse is conducting an admission interview with an older patient admitted to a long-term care facility
When the nurse asks about the patient's former occupation, the patient states, "What do you care? I am long retired!" What response by the nurse is best? a. "Your job may have exposed you to some health hazards." b. "It helps me get to know you and your background better." c. "We have several clubs here you might be interested in." d. "No real reason, it's just part of our ad-mission interview."
Which of the following statements represents a true difference between the fluids and electrolytes of a child compared to those of an adult?
a. Water constitutes a smaller percent of the body weight of children. b. A smaller percent of the body weight is in the extracellular compartment in children. c. Infants and children have a relatively greater body surface area than adults. d. Infants and children have a lower basal metabolic rate than adults.