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- A patient has a ne prescription for sumatriptan (Imitrex). The nurse providing patient teaching on self-administration ill include hich information? a )Correct technique for intramuscular injectionsb) Take the medication before the headache orsens.c) Allo at least 30 minutes beteen injections.d) Take no more than 4 doses in a 24-hour periodThe nurse has provided patient education regarding therapy with the SERM raloxifene (Evista). Which statement from the patient reflects a good understanding of the instruction? a) “When I take that long flight to Asia, I will need to stop taking this drug at least 3 days before I travel.”b) “I can continue this drug even when traveling as long as I take it with a full glass of water each time.”c )“After I take this drug, I must sit upright for at least 30 minutes.”d )“One advantage of this drug is that it will reduce my hot flashes.”A patient is starting -arfarin (Coumadin) therapy as part of treatment for atrial fibrillation. The nurse -ill follo- -hich principles of -arfarin therapy? (Select all that apply.) a )Teach proper subcutaneous administrationb )Administer the oral dose at the same time every dayc) Assess carefully for excessive bruising or unusual bleedingd )Monitor laboratory results for a target INR of 2 to 3e )Monitor laboratory results for a therapeutic aPTT value of 1.5 to 2.5 times the control value
- A patient with bone pain caused by metastatic cancer will be receiving transdermal fentanyl patches. The patient asks the nurse what benefits these patches ha-e. The nurse’s best response includes which of these features? a )More constant drug le-els for analgesia b )Less constipation and minimal dry mouth c )Less drowsiness than with oral opioids d )Lower dependency potential and no major ad-erse effectsIf extravasation of an antineopastic medication occurs, which intervention wi the nurse perform first?a )Appy cod compresses to the site whie eevating the arm.b) Inject subcutaneous doses of epinephrine around the IV site every 2 hours.c )Stop the infusion immediatey whie eaving the catheter in pace.d )Inject the appropriate antidote through the IV catheterA patient is taking metformin for new-onset type 2 diabetes mellitus. When reviewing potential adverse effects, the nurse will include information about: (Select all that apply.) a )Abdominal bloatingb )Nauseac) Diarrhead )Headachee )Weight gainf )Metallic taste
- A physician orders cepepime 0.15g IV q 12h.The nurse has the following vial of cefepime and the package insert for the drug .How many mls will the nurse administerThe nurse is teaching a patient about self-administration of enoxaparin (Lovenox). Which statement should be included in this teaching session? a) “We -ill need to teach a family member ho- to give this drug in your arm.”b )“This drug is given in the folds of your abdomen, but at least 2 inches a-ay from your navel.”c) “This drug needs to be taken at the same time every day -ith a full glass of -ater.”d )“Be sure to massage the injection site thoroughly after giving the drug.”A patient is reporting pain 2 days after a below the knee (BKA) amputation. which nursing intervention should be considered while treating this patient?a. offer non- pharmacologic measures in addition to the current prescribed medicationb. monitor the serum drug level of the prescribed analgesic as neededc. treat the pain only as it occurs in order to prevent drug addictiond. do not provide any pain relief measures since the patient is 2 days post-op
- When monitoring for a therapeutic response to aminoglutethimide, the nurse will look for which potential outcomes? a) Increase in Cushing’s syndrome characteristicsb )Decrease in Cushing’s syndrome characteristicsc )Increased lymphocyte levelsd )Growth suppressionMany adults and older adults use aspirin daily for antiplatelet benefits. What nursing considerations are essentials when working with these patients? What teaching points are important for patients on antiplatelet therapy?A 40 years old politician suffered from attacks of chest pain diagnosed as angina pectoris. He had a tense personality , resting heart rate was 96/min blood pressure 170/104 mm Hg, but blood sugar level and lipid profile were normal . Select the most suitable antihypertensive for initial therapy in his case and justify your opinion? Please write at your own words.