A group of nursing students are reviewing information about clindamycin (Cleocin). The students demonstrate understanding of this drug when they identify that it should be used with caution in clients with which of the following? Select all that apply
A) Seizure disorder
B) GI disorders
C) Myasthenia gravis
D) Diabetes
E) Hepatic impairment
Ans: B, C, E
Feedback:
Clindamycin, a lincosamide, should be used cautiously in clients with a history of GI disorders, renal disease, liver impairment, or myasthenia gravis.
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A nurse is caring for a 14-year-old with a gastrostomy tube. The girl has skin breakdown and irritation at the insertion site. Which would be the most appropriate method to clean and secure the gastrostomy tube?
A) Make sure the tube cannot be moved in and out of the child's stomach. B) Use adhesive tape to tape the tube in place and prevent movement. C) Place a transparent dressing over the site whether there is drainage or not. D) If any drainage is present, use a presplit 2 × 2 and place it loosely around the site.
The nurse prepares for the arrival of older adults evacuated from a hurricane to a shelter for short-term care. Which of the following is the priority nursing intervention?
a. Demonstrate that the staff is prepared to meet their needs. b. Use individual medical records to develop a medication plan. c. Help older adults display family photo-graphs and memorabilia. d. Help older adults teach one another a new skill in the shelter.
The nurse is planning an instructional session with a client. When planning this session, the nurse should incorporate which teaching/learning principles? (Select all that apply.)
1. Assessment of how the client organizes knowledge 2. Motivation and self-efficacy 3. Setting goals 4. Developmental level of the client 5. Time management 6. Self-engagement
The nurse understands that which of the following drugs falls under the classification of biguanides?
1. Metformin HCI (Glucophage) 2. Repaglinide (Prandin) 3. Tolbutamide (Orinase) 4. Acarbose (Precose)