A patient with an inflammatory response is prescribed ranitidine (Zantac) 75 mg once a day. What is the nurse's best action?
a. Give the drug as ordered.
b. Hold the drug and notify the prescriber.
c. Teach the patient to take the drug first thing in the morning.
d. Ask the patient if he or she is allergic to any drugs or other substances.
B
Ranitidine (Zantac) is an H2 receptor blocker used to decrease production of stomach acids. The prescriber has confused this drug with cetirizine (Zyrtec), an H1 receptor blocker used to slow or stop tissue effects of inflammation.
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When assessing a client with a somatoform disorder, how would the mental health nurse assess the client's secondary gains?
A) By asking questions concerning the type and amount of medications the client is taking B) By asking questions to elicit any pattern of repeated complaints by taking a history of current and past health status C) By asking questions concerning any previous work or activity the client used to be able to do that he or she is unable to perform as a result of the symptoms D) By asking questions concerning physical complaints
The nurse suspects a patient is in the final stages of the dying process. What manifestations did the nurse assess in this patient?
Select all that apply. 1. change in level of consciousness 2. sudden increase in taste and smell 3. urinary incontinence 4. increased blood pressure 5. irregular heart rate
Which action is the most appropriate for the public health nurse to take when working with uninsured individuals?
a. Providing direct care for this population in times of acute illness b. Advocating for federal policy changes for this population c. Assisting this population to access necessary health care services d. Encouraging lifestyle changes for this population
The client continues to ask questions about a surgical wound. The client states, "I think I would like help the first time I look at my wound." This is an example of:
1. Adaptation 2. Perception 3. Organizing 4. Guided response