The nurse is caring for an older adult patient prescribed allopurinol (Zyloprim). What action by the nurse is best?
a. Offering fresh, cold water frequently dur-ing the day
b. Monitoring temperature every 4 hours
c. Ensuring sufficient protein intake
d. Assessing for depression symptoms daily
A
To discourage the formation of renal stones, the patient should be encouraged to have a daily in-take of 2 to 3 L of fluid unless contraindicated. The other actions are not related to preventing this adverse effect.
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A client was admitted with a gunshot wound sustained during a robbery. What does the nurse suspect contributed to this client's injury?
A) The crime's suburban location B) The gunman's unemployment C) The gunman's age of 45 D) The gunman's college education
A nurse is has just finished giving a presentation for her peers regarding cultural sensitivity. Which statement by a peer would indicate a need for further education?
A) "I will address all of my clients by their last name until they give me permission to call them by their first name." B) "I need to introduce myself and state my role to a client when I first meet the client." C) "I will never ask clients about their culture; I don't want to offend them." D) "I will show respect for the client's support people. I understand that in some cultures individuals don't make their own healthcare decisions."
What is the best explanation that you can provide to a pregnant client who is concerned that she has "pseudoanemia" of pregnancy?
a. Have her write down her concerns and tell her that you will ask the physician to respond once the lab results have been evaluated. b. Tell her that this is a benign self-limiting condition that can be easily corrected by switching to a high-iron diet. c. Inform her that because of the pregnancy, her blood volume has increased, leading to a substantial dilution effect on her serum blood levels, and that most women experience this condition. d. Contact the physician and get a prescription for iron pills to correct this condition.
Which of the following is a major side effect of butorphanol tartrate (Stadol)?
1. Blurred vision 2. Agitation 3. Feelings of dysphoria 4. Drowsiness