Which of the following nursing actions is an example of a "preventive" nursing intervention? A) Administering pain medication to a post-operative patient. B) Teaching a patient with hypertension about dietary restrictions. C) Monitoring vital signs of a patient with a fever. D) Assisting a patient with diabetes in administering insulin.
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Question 1: Which of the following nursing actions is an example of a "preventive" nursing intervention?
A) Administering pain medication to a post-operative patient. B) Teaching a patient with hypertension about dietary restrictions. C) Monitoring vital signs of a patient with a fever. D) Assisting a patient with diabetes in administering insulin.
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- A patient with type 2 diabetes is scheduled for magnetic resonance imaging (MRI) with contrast dye. The nurse reviews the orders and notices that the patient is receiving metformin (Glucophage). Which action by the nurse is appropriate?a) Proceed with the MRI as scheduled.b) Notify the radiology department that the patient is receiving metformin.c) Expect to hold the metformin the day of the test and for 48 hours after the test is performed.d )Call the prescriber regarding holding the metformin for 2 days before the MRI is performedThe nurse is teaching a patient about treatment with an SSRI antidepressant. Which teaching considerations are appropriate? (Select all that apply.) a )The patient should be told which foods contain tyramine and instructed to avoid these foods. b) The patient should be instructed to use caution when standing up from a sitting position. c )The patient should not take any products that contain the herbal product St. John’s wort. d )This medication should not be stopped abruptly. e )Drug levels may become toxic if dehydration occurs. f )The patient should be told to check with the prescriber before taking any over-the-counter medications.The new graduate nurse would question the order for laxative administration in which of the following clients? (Select all that apply.) A )65-year-old male with ulcerative colitis who is having a hip replacement. B)24-year-old female with a distended abdomen who has not passed stool for three days and has just arrived at the emergency department. C)40-year-old female who uses opioids for chronic pain.A D)An 18-year-old female trying to lose five more pounds for a beauty pageant. E)A 50-year-old male with chronic hemorrhoids who is having orthoscopic surgery.
- Question: In home health care nursing, what is a primary goal of providing care to patients in their own residences? a) Reducing healthcare costs b) Minimizing family involvement c) Reducing the need for skilled nursing care d) Promoting patient independence and comfortThe nurse is reviewing the drug history of a patient, and during the interview the patient asks, “Why are some drugs over-thecounter and others are not?” The nurse keeps in mind that criteria for over-the-counter status include: (Select all that apply.) a) The condition must be diagnosed by a health care provider. b) The benefits of correct usage of the drug outweigh the risks. c )The drug has limited interaction with other drugs. d) The drug is easy to use. e )The drug company sells OTC drugs at lower pricesA hospitalized patient is complaining of having difficulty sleeping. Which action will the nurse take first to address this problem?a )Administer a sedative-hypnotic drug if ordered.b )Offer tea made with the herbal preparation valerian.c )Encourage the patient to exercise by walking up and down the halls a few times if tolerated.d )Provide an environment that is restful, and reduce loud noises.
- The nurse is assessing a patient who has been taking quinidine and asks about adverse effects. An adverse effect associated with the use of this drug includes: a )muscle pain.b )tinnitus.c )chest pain.d )excessive thirstThe nurse is reviewing the drugs currently taken by a patient who will be starting drug therapy with carbamazepine (Tegretol). Which drug may raise a concern for interactions?a) digoxin (Lanoxin)b )acetaminophen(Tylenol)c )diazepam (Valium)d) warfarin (Coumadin)What is the primary goal of medication reconciliation in medical-surgical nursing? a) Discontinuing all medications to prevent adverse effects b) Ensuring accurate and up-to-date medication lists for patients c) Administering as many medications as possible to manage symptoms d) Documenting medication errors for legal purposes
- The nurse is reviewing the four clinical phases of investigational drug studies. Place the four phases in the correct order of occurrence.a) Studies that are voluntarily conducted by pharmaceutical companies to obtain more information about the therapeutic and adverse effects of a drug.b )Studies that involve small numbers of volunteers who have the disease or ailment that the drug is designed to diagnose or treat.c) Studies that involve small numbers of healthy subjects who do not have the disease or ailment that the drug is intended to treat.d )Studies that involve large numbers of patients who have the disease that the drug is intended to treat; these studies establish the drug’s clinical effectiveness, safety, and dosage rangeWhich of the following nursing interventions is appropriate for a patient with impaired mobility? a) Encouraging the patient to remain in bed at all times b) Assisting with range-of-motion exercises c) Restraining the patient to prevent falls d) Administering sedatives to keep the patient calmThe nurse is reviewing the medication list for a patient who will be starting therapy with somatropin. Which type of drug would raise a concern that needs to be addressed before the patient starts the somatropin? a )Nonsteroidal antiinflammatory drug for arthritisb) Antidepressant drugc )Penicillind )Glucocorticoid