GI distress
A male client reports to the nurse that he is experiencing GI distress from high dose of a corticosteroid and is planning to stop taking the medication. In response to the clients statement what nursing action is most important for the nurse to take?
m. Encourage the client to take medication with food to decrease GI distress
n. Advice the client that the medication should be stopped gradually rather than abruptly.
o. Review the clients dosing schedule to ensure he is taking the prescribed amount
p. Assess the client for other indication of adverse effects of corticosteroid
Fifteen minutes after receiving sulfa athenozole . A male client report a burning sensation over his abdomen chest and groin. Which intervention is most important for the nurse to implement?
q. Auscultate lung sounds for wheezing
r. Review the clients list if drugs allergies
s. Add sulfamethinozole to clients allergies
t. Check neurological vital signs
Antibiotic resistant organism are a major infection control problems. To help minimize the emergence of resistant bacteria what instruction should the nurse provide to the clients?
u. stop taking prescribed antibiotics when symptoms decrease v. avoid using antibiotics when suffering from colds or the flu
w. ask the healthcare provider to prescribe the newest antibiotic when needed
x. request a prescription for first time vancomysin for a sore throat
A client with symptoms of influenza that started the previous day ask the clinic nurse about taking oseltamivir (Tamiflu) to treat the infection. Which response should the nurse provide?
y. Advise the client once symptoms occur is too late to receive an influenza vaccination
z. Refer the client to the healthcare provider at the clinic to obtain a medication prescription
aa. Explain to the client that antibiotics are not useful in treating viral infections such as influenza
bb. Instruct the client that over the counter medications are sufficient to manage influenza
symptoms
Twenty minutes after the nurse starts a secondary IV infusion of cafepime (maxipime) 2 grams using an infusion pump to deliver the dose in one hour, the client reports feeling nauseated. What action should the nurse implement?
cc. stop medication infusion and notify the healthcare provider of the adverse effect dd. increase the rate of the infusion to complete the dose of the medication more
rapidly
ee. continue the infusion and administer a prn antiemetic prescription ff. reasurre the client that the nausea is not related to the iv infusion
The nurse administer donepezil hydrochloride (Aricept) to a client with Alzheimers disease as an intervention for which client problem?
gg. fluid volume excess hh. disturbed though processes
ii. chronic pain
jj. altered breathing patterns
To prevent deep vein thrombosis following knee replacement surgery, an adult male client is receiving enoxaparin (Lovenox) subcutaneously daily. Which laboratory finding requires immediate action by the nurse?
kk. blood urea nitrogen (BUN) 20mg/dl or 7.1 mmol/L (SI) ll. Hematocrit 45%
mm. Serum creatinine 1.0 mg/dl or 88.4 mol/L (SI) nn. Platelet count of 100,000/mm3 or 100×10??/ L (SI)
