The client receives H2-receptor antagonists for treatment of peptic ulcer disease (PUD). Based on the nursing diagnosis risk for bleeding, which assessment finding would the nurse plan to report immediately to the physician?
1. The client reports pain after 24 hours of treatment.
2. The client reports episodes of melana.
3. The client reports he took Tums with his H2-receptor antagonist.
4. The client reports he is constipated.
2. The client reports episodes of melana.
Rationale:
Melana could indicate GI bleeding and should be reported to the physician immediately. The client may still experience pain for several days with this type of medication. Taking Tums with an H2-receptor antagonist will cause deceased absorption of the H2-receptor antagonist, but this does not need to be reported to the physician; the nurse should educate the client. Constipation is a common side effect that does not need to be immediately reported to the physician.
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A home health nurse's client caseload is ethnically diverse. Which interventions show understanding of cultural variables?
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A genetic screening test completed on a newborn is found to be positive. What should the nurse anticipate the next action will be for this infant?
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The nurse is preparing for an acute medication intervention, which route is understood to provide the most rapid delivery in to the circulation of blood?
A. The parenteral route. B. The topical route. C. The enteral route. D. Oral liquids.