The nurse is taking a health history on a 38-year-old man who is taking atorvastatin (Lipitor) for high cholesterol. What will the nurse question specifically related to the safe use of this drug?
A) Alcohol
B) Nicotine
C) Caffeine
D) Herbal therapy
A
Feedback:
Beta-hydroxy-beta-methylglutaryl coenzyme A (HMG-CoA) reductase inhibitors are contraindicated with active liver disease or a history of alcohol-related liver disease so it is important for the nurse to ask about the patient's use of alcohol. Nicotine, caffeine, and herbal therapies are usually not identified as producing any drug–drug interactions with atorvastatin.
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The nurse is planning care to address pain in the client with genital herpes. Which intervention would be appropriate for this client?
A) Increase the intake of cranberry juice. B) Clean lesions 2 or 3 times a day with warm water and soap. C) Dry lesions with a hair dryer turned to the hot setting. D) Wear tight cotton clothing.
A female patient who has been prescribed
diazepam (Valium) for anxiety tells you that she and her husband are planning to have a child. What is your best response? a. "Before becoming pregnant your dosage of diazepam will need to be decreased." b. "You should always discuss any changes in your medications and lifestyle with your prescriber." c. "Consult with your prescriber because taking diazepam while pregnant has been associated with birth defects." d. "Diazepam may cause withdrawal effects including miscarriage when taken during pregnancy."
Which action could the postanesthesia care unit (PACU) nurse delegate to unlicensed assistive personnel (UAP) who help with the transfer of a patient to the clinical unit?
a. Clarify the postoperative orders with the surgeon. b. Help with the transfer of the patient onto a stretcher. c. Document the appearance of the patient's incision in the chart. d. Provide hand off communication to the surgical unit charge nurse.
A mother tells the nurse she is afraid to have her infant immunized. Which statement would be the most appropriate response for the nurse?
a. "It is normal to be concerned, as some immunizations have been linked to autism." b. "Researching the Internet will provide you more information as to the importance of immunizations." c. "Choosing to not vaccinate your child puts your child and others at risk." d. "Your infant received active immunity at birth, so immunizations are not indicated until 4 months of age."