The nurse is providing patient education to a group preparing to go to a region where malaria is endemic. Which education provided by the nurse about prophylactic administration of doxycycline (Vibramycin) is most appropriate?
"The medication should be (Select all that apply.)
a. started 2 days prior to travel to the area."
b. discontinued 3 weeks after leaving the area."
c. used for acute attacks only."
d. taken twice daily for 14 days."
e. continued for 4 weeks upon return from the area."
ANS: A, E
A patient taking doxycycline should take the medication 2 days prior to departure and for 4 weeks upon returning from the endemic region.
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The client with adrenal hyperfunction screams at her husband, bursts into tears, and throws her water pitcher against the wall. She then tells the nurse, "I feel like I am going crazy." What is the nurse's best response?
A. "I will tell your doctor to order a psychiatric consult for you." B. "You feel this way because of your high hormone levels. The doctor can order an antianxiety drug for you." C. "You feel this way because you are frightened about having a chronic disease. Would you like me to give you information about a support group?" D. "You must learn to control your behavior. Because you disturbing others, I am going to keep the door to your room closed and restrict your visitors."
A nurse counsels a patient who made a suicide attempt 3 days ago. Select the nurse's most therapeutic comment
a. "I'm glad you voluntarily admitted yourself to the hospital. We can help you here." b. "When you have bad feelings, try to remember the good things about your life." c. "You must take control of your problems and try to find solutions." d. "Let's discuss some ways to solve your most important problem."
Brands of pancreatic enzyme replacement drugs are:
1. Bioequivalent 2. About the same in cost per unit of lipase across brands 3. Able to be interchanged between generic and brand-name products to reduce cost 4. None of the above