A client takes ibuprofen to deal with the pain of arthritis. The client complains of gastrointestinal symptoms. Which is an appropriate strategy for the nurse to teach the client?
a. "Take the medication on an empty stomach."
b. "Do not take the medication if it has side effects."
c. "Try to take an antacid 1 hour before the dose."
d. "You must take the medication anyway."
ANS: C
An antacid may decrease the gastrointestinal side effects of the NSAID. It may also impair absorption, so it must be evaluated for effectiveness.
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During the maintenance phase of treatment, a patient with bipolar disorder asks, "Do I have to keep taking lithium even though my mood is stable now?" Select the nurse's best response
a. "Do you feel you are ready to stop taking it?" b. "Taking the medication daily helps prevent future relapses and recurrences.". c. "Usually patients take medication for approximately 6 months after discharge.". d. "It's unusual that the health care provider hasn't already stopped your medication.".
A 73-year-old man comes into the emergency department (ED) by ambulance after slipping on a small carpet in his home
The patient fell on his hip with a resultant fracture. He is alert and oriented; PERLA is intact. His heart rate is elevated, he is anxious and thirsty, a Foley catheter is placed, and 40 mL of urine is present. What is the nurse's most likely explanation for the urine output? A) The man urinated prior to his arrival to the ED and will probably not need to have the Foley catheter kept in place. B) The man has a brain injury, lacks ADH, and needs vasopressin. C) The man is in heart failure and is releasing atrial natriuretic peptide that results in decreased urine output. D) He is having a sympathetic reaction, which has stimulated the renin-angiotensin-aldosterone system that results in diminished urine output.
An infant's health history reveals an Apgar score of 4 to 7 . This score infers what kind of condition at birth?
A) Good B) Excellent C) Guarded D) Critical
A mother states that her 11-year-old son has really started to change in his understanding of concepts. The nurse knows that this could be true because:
1. Puberty has started to occur. 2. The increase in testosterone at this age causes the brain to mature. 3. The boy is modeling older boys. 4. Brain connections at this age are rewired to be more like an adult brain.