A patient who has been prescribed amiloride (Midamor) for the past 3 months reports that she must shave her legs more frequently. What is your best action?
a. Hold the next dose and notify the prescriber immediately.
b. Instruct the patient to stop taking oral contraceptives while she is taking this drug.
c. Document the response and reassure the patient that this is an expected side effect.
d. Ask the patient whether she has noticed any changes in the thickness of her scalp hair.
ANS: C
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A patient continues to report pain after the administration of the prescribed analgesic. Why should the nurse change the nursing care plan?
a. Patient's pain threshold has risen. b. Patient's pain threshold has lowered. c. Patient has become addicted. d. Patient is seeking attention.
When recording assessments during the construction of the problem-oriented medical record, the examiner should:
a. combine all data into one assessment. b. create an assessment for each problem on the problem list. c. create an assessment for every abnormal physical finding. d. create an assessment for every symptom presented in the history.
Daniel has been on 60 mg of prednisone for 10 days to treat a severe asthma exacerbation. It is time to discontinue the prednisone. How is prednisone discontinued?
1. Patients with asthma are transitioned directly off the prednisone onto inhaled corticosteroids. 2. Prednisone can be abruptly discontinued with no adverse effects. 3. Develop a tapering schedule to slowly wean Daniel off the prednisone. 4. Substitute the prednisone with another anti-inflammatory such as ibuprofen.
A nurse assesses a client who is experiencing acute pain. Which aspects of the pain assessment are gathered first before the detailed assessment? Select all that apply.
A. Location B. Provocation C. Intensity D. Quality E. Radiation