For which patient should the nurse question an order for esomeprazole (Nexium)?
a. A 55-year-old female who takes digoxin
b. A 52-year-old male who is noncompliant
c. A 38-year-old female who has asthma
d. A 56-year-old male who has epistaxsis
A
Esomeprazole (Nexium) interferes with the absorption of digoxin, rabeprazole, and iron salts. In addition, the Food and Drug Administration (FDA) has issued a warning that long-term use of the proton pump inhibitors esomeprazole (Nexium) or omeprazole (Prilosec) may increase the risk of heart problems.
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The head nurse on a unit that serves persons with cognitive impairment is concerned about her staff, many of whom seem to be becoming "burned out" by their challenging work
Which response by the head nurse is most likely to minimize staff frustration and burnout on the unit? Select all that apply. a. Educate staff regarding realistic expectations for this patient population. b. Arrange for 12-hour shifts so that staff can have more days off per week. c. Guide staff to use small, realistic goals as their measure of patient progress. d. Provide for after-work activities such as meeting at taverns for happy hours. e. Encourage and support staff in taking good care of their own health. f. Rotate staff shifts and assignments to vary their work and keep it fresh.
A patient is admitted to the intensive care unit with what is thought to be toxic epidermal necrolysis (TEN). When assessing the health history of the patient, the nurse would be alert to what precipitating factor?
A) Recent heavy ultraviolet exposure B) Substandard hygienic conditions C) Recent administration of new medications D) Recent varicella infection
The nurse considers several new female patients to receive additional health education on the need for more frequent Pap smears and gynecological examinations
Which of the following assessment findings reveals the patient at highest risk for cervical cancer and thus having the greatest need for patient education? a. Nonsmoker, 13 years old, not sexually active b. Social smoker, 15 years old, celibate c. 22 years old, smokes 1 pack of cigarettes per day, has multiple sexual partners d. 50 years old, stopped smoking 30 years ago, history of hysterectomy
A recent graduate nurse has been assigned to be a primary nurse on a geriatric unit. After completing a review of development and aging, the nurse recalls that changes during the climacteric signify:
A. a transition from middle to late adulthood. B. the ability of the older adult to achieve sexual arousal. C. a time when cognitive performance begins to peak in middle age. D. a decline of reproductive capacity caused by a decrease in sexual hormones.