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John retired from work last month after 38 years with the same corporation. He's been looking forward to retirement at the age of 65, but is concerned that the days are beginning to wear on him. Physically he does "okay." His hypertension is under control with medications and he runs 2 miles three mornings a week. He is planning a trip overseas this summer with Martha, his wife of 43 years.John has noticed that his knees feel stiff and painful in the mornings as he gets out of bed, so he ...

The nurse is evaluating the effectiveness of therapy in a patient with asthma. Which statement made by the patient indicates an effective outcome of the therapy? Select all that apply. - "I stopped smoking 3 months ago." "I can speak in complete sentences without shortness of breath." "I can breathe easier through pursed-lip breathing." Which patient with asthma requires immediate treatment? - A patient with respiratory rate 12 breaths/min The patient is experiencing a decreased pul...

Which interventions are helpful when caring for a client with impaired vision? Select all that apply. Suggest the client use soft, diffuse lighting. Advise the client to avoid wearing sunglasses when outdoors. Offer large-print books and reading material. Clean the client's eyeglasses daily. Place call light and necessary items within reach. - Offer large-print books and reading material. Clean the client's eyeglasses daily. Place call light and necessary items within reach. The nurse ...

1. During a therapeutic group, a client talks about personal accomplishments in an effort to gain attention. Which group role, assumed by this client, should the nurse identify? 1. Task role of gatekeeper 2. Individual role of recognition seeker 3. Maintenance role of dominator 4. Task role of elaborator - Answer-2. This is correct. The client is assuming the individual role of the recognition seeker. Other individual roles include the aggressor, the blocker, the dominator, the help seek...

Which scenarios support the use of restraints in a hospital? Select all that apply. A. A client refusing to take medications B. A confused client who continuously pulls out his or her IV line C. An alert client who is ventilator dependent who is pulling at the endotracheal tube. D. A client who is threatening to leave the hospital against medical advice E. A confused client who has fallen multiple times - B. A confused client who continuously pulls out his or her IV line Rationale: A conf...

A patient is diagnosed with severe peptic ulcers in the gastrointestinal tract. Which surgical procedure is the patient most likely to have? -vagotomy -gastrojejunostomy -hepaticojejunostomy -distal pancreatectomy - Vagotomy The primary healthcare provider prescribed four different medications for four different patients with acute pancreatitis. Which patient is most likely to have decreased gastric acid secretions? Patient A - 42 y/o; gallbladder disease - opioid narcotics Patient B - ...

The nurse is assessing a client after an abdominal surgery who speaks a different language. Which nonverbal assessment changes could indicate pain is present? Select all that apply. Confusion Restlessness Poor eye contact Moaning Irritability - Confusion Restlessness Moaning Irritability The ______________ response is involuntary and includes both sympathetic and parasympathetic responses. The sympathetic responses are seen in acute pain and include increased systolic blood pressure,...

The patient who has sickle cell anemia developed the condition of hand-foot syndrome because of what physiological process? Repeat crisis and infarction of the bones leading to uneven development of fingers and toes Damage to the liver related to repeat sickle cell crisis Repeat crisis and infarction involving the circulatory system of the arms and legs Damage to the kidneys related to repeat sickle cell crisis - Answer-C A patient is admitted to the nurse's unit with sickle cell crisis. ...

ALT - Alanine aminotransferase assess liver function Males - 19-36 units/L Females - 24-36 units/L AST - Aspartate aminotransferase indicator of cellular damage in liver disease Males - 20-40 units/L Females - 15-30 units/L Potassium lab - evaluates fluid and electrolyte balance monitor effectiveness of therapeutic interventions 3.5-5.3 mEq/L Blood glucose - assess blood sugar for diabetes Less than 100 mg/dL = GOOD Less than 40 mg/dL = BAD Glomerular Filtration Rate (GFR) - assess...

Antacids can profoundly affect the absorption of many drugs, so patient teaching should include the information that antacids should be taken 2 hours before or after other medications. T/F - Answer-True Histamine 2(H2) antagonists block the release of __________ in response to __________. - Answer-HCL Gastrin Cimetidine (Tagamet) is recommended for the treatment of peptic ulcer and gastroesophageal reflux in children under 16 years of age. T/F - Answer-False Erosions in the lining of GI tr...

Anti-infective agents Aminoglycosides *Gentamicin* - Narrow-spectrum antibiotic. Inhibits protein synthesis. They also inhibit transfer RNA from binding with messenger RNA. This synthesizes abnormal proteins due to incorrect reading of the genetic code, causes leaky cell wall. Bactericidal, larger doses kill faster. Side effect: ototoxicity (early signs: tinnitus, headache, ataxia, and vertigo), nephrotoxicity (polyuria, dilute urine, protein and casts in the urine, and an elevation in BUN...

G Medication Bundled Exams with complete solution

ACID NEUTRALIZERS: ANTACIDS - Used to neutralize or reduce acidity of stomach contents by combining with HCL and ^ pH of stomach acid. Common Uses: Heartburn, GERD, acid indigestion, peptic ulcers. Common Drugs: **END IN -CARBONATE OR -OXIDE** aluminum carbonate (BASALJEL) aluminum hydroxide (AMPHOJEL, DIALUME) calcium carbonate (TUMS, MYLANTA) magnesium hydroxide (MILK OF MAGNESIA, PHILLIPS MOM) magnesium oxide (MAG-OX, URO-MAG) sodium bicarbonate (BELLANS) ACID NEUTRALIZERS: ANTACID...

*Question:*A patient who has gastroesophageal reflux disease (GERD) is taking magnesium hydroxide (milk of magnesia). Which outcome should a nurse expect if the medication is achieving the desired therapeutic effect? A. Neutralized gastric acid B. Reduced stomach motility C. Increased barrier to pepsin D. Reduced duodenal pH - Correct answer: *A* Antacids work by neutralizing, absorbing, or buffering gastric acid, which raises the gastric pH above 5. For patients with GERD, antacids can ...

A client with peptic ulcer is diagnosed with a H. pylori infection. The nurse is teaching the client about the medications prescribed, including clarithromycin, esomeprazole, and amoxicillin. Which statement by the client indicates the BEST understanding of the medication regime? A) "My ulcer will heal because these medications will kill the bacteria" B) "These medications are only taken when I have pain from my ulcer" C) "The medications will kill the bacteria and stop the acid produc...

A physician has written an order for ranitidine (Zantac) once daily. The nurse schedules the medications for which of the following times? A. At bed time B. After lunch C. With supper D. Before breakfast - Answer-A. at bed time, ranitidine (Zantac) is an H2 blocker A client has been taking omeprazole (Prilosec) for 4 weeks. The nurse determines that the client is receiving the optimal intended effect of the medication if the client reports absence of which of the following symptoms? A. ...

NSAIDS - - Peptic ulcer disease is usually caused by what? Antacids (Mylanta) - - Al(OH)3 + Mg(OH)2 - Neutralize gastric acid and promote healing of gastric ulcers. 1) Interfere with drug absorption 2) Constipation (aluminum) 3) Diarrhea (magnesium) - - What are 3 side effects of Mylanta? Sucralfate - - Mucosal protectant that works in an acidic environment. - Paste-like material that protects mucosa from attack by acid and pepsin. - Binds proteins on cell surface. Colloidal bismuth - -...

A client with Crohn's disease is scheduled to receive an infusion of infliximab (Remicade). What intervention by the nurse will determine the effectiveness of treatment? a) Monitoring the leukocyte count for 2 days after the infusion b) Checking the frequency and consistency of bowel movements c) Checking serum liver enzyme levels before and after the infusion d) Carrying out a Hematest on gastric fluids after the infusion is completed - b) Checking the frequency and consistency of bowel ...

Peptic Ulcer Disease - Damage to mucosal barrier, chronic, effects 4.5 million people GERD - reflux into the esophagus, can cause inflamed esophagus, erosive esophagitis, esophageal carcinoma, gets worse when H. pylori is present Helicobacter pylori - PUD, gastric cancer, gastritis Role of H. Pylori in PUD - Cause increase in inflammatory mediators to be secreted (decreases somatostatin secretion-causes gastrin release, increases gastrin secretion, increases cell proliferation, increases a...

Antacids - -Act to neutralize or reduce the acidity of the gastric contents -increase gastric pH -Relieves symptoms but does NOT promote healing -Antacids interfere with other medications Histamine H2-receptor antagonists - -Reduce gastric acid secretion by blocking the action of histamine at the H2 receptors in the stomach, thereby displacing histamine from receptor binding sites -This Inhibits gastric acid secretion and they become rapidly absorbed -Creates a more alkaline environment ...