The nurse is preparing to administer an initial dose of a COX-1 inhibitor and obtains a brief health history. Based on an understanding of the therapeutic effects of this drug, the nurse would anticipate the patient to have which medical diagnosis?
a. Ulcerative colitis
b. Asthma
c. Arthritis
d. Polycythemia
C
The nurse should anticipate that the initial dose of a COX-1 inhibitor will reduce inflammation; therefore, the nurse would expect the patient to be experiencing an inflammatory disorder, such as arthritis.
Aspirin would be inappropriate for patients with ulcerative colitis, because they already are at risk for bleeding, and the use of aspirin could potentiate further bleeding.
Aspirin can exacerbate asthma and would not be used.
Aspirin would be inappropriate for patients with polycythemia; these patients need additional fluids or phlebotomy.
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A nurse is teaching a patient how to administer trifluridine (Viroptic) for keratoconjunctivitis. The nurse will instruct the patient to apply the drops
A) once a day. B) twice a day. C) every 4 hours around the clock. D) every 2 hours during waking hours.
A 68-year-old patient tells the nurse that her sense of smell is not as acute as before, her nose is drier, and she occasionally gets a nosebleed. What should the nurse suspect?
a. An infection b. Normal age-related changes c. A nasal defect d. Allergies that are causing her symptoms
The LPN explains to a client that health care ethics are based on (select all that apply):
1. autonomy. 2. fidelity. 3. beneficence. 4. justice. 5. nonmaleficence.
What can a nurse do to encourage a normal bowel movement in an older adult?
a. Encourage the patient to decrease fluid intake. b. Provide a warm beverage at breakfast. c. Administer a mild laxative at bedtime. d. Provide a warm shower each morning.