• Custom: Term 3 Pharmacology Perioperative and GI Practice (1-100)
A nurse is reinforcing teaching about cimetidine with a client who has peptic
... [Show More] ulcer disease. Which of the following information should the nurse include in the teaching?
Wait at least 1 hr after taking the medication before taking an antacid.
Expect breast tenderness while taking this medication.
Take this medication on an empty stomach.
Take ibuprofen for occasional aches and pains.
The nurse should instruct the client to wait at least 1 hr after taking cimetidine before taking an antacid. These medications can decrease absorption of the medication
A nurse on a telemetry unit is reviewing laboratory results for a client who has atrial fibrillation and is taking warfarin. Which of the following laboratory values should the nurse report to the provider?
PT 45 seconds
Hgb 16 g/dL
aPTT 36 seconds
Platelets 190,000/mm3
The expected reference range for PT is 11 to 12.5 seconds. During therapy, the nurse should expect to see the values increase 1.5 to 2.5 times the baseline. Therefore, the nurse should withhold the warfarin and notify the provider.
A nurse is collecting data from a client who has diverticular disease. The nurse should expect the client to report abdominal pain in which of the following locations?
Lower left quadrant
Upper left quadrant
Lower right quadrant
Upper right quadrant
The nurse should expect the client to report abdominal pain in the lower left quadrant of the abdomen. The disease is usually found in the sigmoid colon.
A nurse is reinforcing teaching with a client about the use of transcutaneous electrical nerve stimulation (TENS) to manage chronic pain. Which of the following statements by the client indicates the need for further teaching?
"I wish I didn't have to attach the electrodes to my skin."
"It's unfortunate that I have to be in the hospital for this treatment."
"I'll need to shave the hair off the skin where I place the electrodes."
"I hope I don't have to take as many pain pills."
TENS units are portable. The client can use his TENS unit at home or wherever he chooses.
A nurse is collecting data from an older adult client who reports taking the herbal supplement flaxseed. Which of the following statements should the nurse make to the client?
"Flaxseed is effective in decreasing the number of migraine headaches."
"Flaxseed is helpful in improving memory in older adults."
"You should not take flaxseed if you are taking aspirin or anticoagulant medications."
"You might experience abdominal bloating and discomfort while taking flaxseed."
Flaxseed is an herbal supplement used, because of its fiber content, to relieve constipation and also to decrease total cholesterol levels. Flaxseed can cause gastrointestinal effects such as bloating, discomfort, and gas.
A nurse is reinforcing teaching with a client about cancer prevention and plans to address the importance of foods high in antioxidants. Which of the following foods should the nurse include in the teaching?
Cottage cheese
Fresh berries
Bran cereal
Skim milk
The nurse should include fresh berries (blackberries, strawberries, blueberries, and cranberries), coffee, kale, and dark chocolate as food sources high in antioxidants.
A nurse is reinforcing teaching with a client who reports motion sickness about using an herbal supplement. The nurse should identify that the client can use which of the following herbal supplements to help control nausea?
Garlic
Valerian
Kava
Ginger root
Clients can use ginger root to decrease nausea and vomiting resulting from motion sickness, morning sickness, and seasickness. This action might result from blocking serotonin receptors in the chemoreceptor trigger zone of the medulla and vagal neurons in the gastrointestinal tract.
A nurse finds an open vial of morphine lying on top of the cabinet in a client's room. Which of the following actions should the nurse take?
Return the medication to the stock for future use.
Report the discrepancy immediately.
Administer the medication to other clients to avoid waste.
Independently dispose of the remaining medication.
Because this medication is a controlled substance, the nurse should remove the medication from the client’s bedside and report the incident according to the facility’s policy. After that, she should dispose of it with another nurse witnessing the discard.
A nurse is caring for an older adult client who has cancer and is receiving opioids for pain relief. The client has a new prescription for docusate PO daily. When collecting data from the client, which of the following therapeutic effects of docusate should the nurse expect?
Decreased drowsiness
Relief from constipation
Relief from nausea
Decreased cancer pain
Constipation is a serious adverse effect of opioid medications. The intended outcome of docusate therapy is to relieve constipation by producing stool that is softer in consistency and easier for the client to pass.
A nurse is collecting data on a client for manifestations of pain. Which of the following findings is a
subjective indicator of pain?
The client reports a burning sensation. The client’s pupils are dilated.
The client is grimacing. The client is restless.
Subjective indicators of pain are based on the client’s report. These can include location, severity, and characterization of pain.
A nurse is assessing a client following administration of an opioid narcotic. Which of the following findings indicates a decrease in the client’s pain?
The client has an increased respiratory rate.
The client is asleep.
The client has an elevated blood pressure. The client is diaphoretic.
Lying quietly or asleep is an indication of a therapeutic response to the pain medication.
A nurse is collecting data on a client for manifestations of pain. Which of the following findings is an objective indicator of pain?
The client states the pain is located on their abdomen. The client reports a burning sensation.
The client grimaces when they move. [Show Less]