Fooled 3 how should the nurse respond to ms bs

Info iconThis preview shows page 1. Sign up to view the full content.

View Full Document Right Arrow Icon
This is the end of the preview. Sign up to access the rest of the document.

Unformatted text preview: ss and tingling in her hands and feet? Is treatment needed? If so, why? treatment 2. Ms. B sees a primary care provider for treatment. She subsequently returns to 2. Ms. the neighborhood nursing clinic and tells the nurse she is very concerned because she used to take the B12 supplement by injection, and now her because physician wants her to take it in the form of a nose spray. Ms. B tells the nurse that the physician must not know the correct treatment and that she will not be fooled into thinking a nose spray will help her. How should the nurse respond? fooled 3. How should the nurse respond to Ms. B’’s questions about how long she will s 3. continue to have numbness and tingling in her hands and feet? continue 89 Critical Thinking Case Study Critical You are the student nurse assigned to care for Mr. T, a 50 -year-old patient with chronic renal failure. He weighs 70 kg. He has had hemodialysis three times a week for the past 2 weeks, and he recently was started on epoetin alfa therapy. 1. Based on the pathophysiology of chronic renal failure, you should be particularly alert for which adverse effects of epoetin alfa? What can be done to minimize the adverse effects of epoetin alfa in a patient with chronic renal failure? 2. Mr. T asks you why he has to get the epoetin alfa by injection. He tells you, “I hear from the other patients here that the shots hurt and that the drug really doesn’t get into my system. Why can’t you just put the medicine into the dialysis machine?” What is your most appropriate response? 90 90 Example Test Questions Questions 91 Fill in the Blank Fill 1. The most commonly prescribed The coagulation modifiers are the_________. coagulation 2. The________are a class of drugs that The________are dissolve life-threatening clots. 3. Two laboratory tests used to determine 3. Two the anticoagulation effects of Coumadin are_________and_________. are_________and_________. 92 A patient being started on an anticoagulant would be told that the primary goal of drug therapy is to: A. Dissolve the existing thrombus. B. Prevent further thrombus formation. B. Prevent C. Stabilize an existing thrombus. D. Prevent the thrombus from becoming an D. embolus. embolus. 93 The nurse should plan to teach a patient who is beginning to receive warfarin (Coumadin) therapy to limit intake of which of the following dietary items? A. Red meat B. Citrus fruit C. Green leafy vegetables D. Mail and milk products 94 A patient receiving anticoagulant therapy should be encouraged by the nurse to use which of the following drugs when an analgesic is needed? A. Acetaminophen (Tylenol) B. Aspirin (Ecotrin) C. Naproxen (Naprosyn) D. Ibuprofen (Motrin) D. Ibuprofen 95 A patient is receiving an intravenous infusion of heparin to treat a pulmonary embolism. What laboratory value will the nurse monitor to evaluate the treatment with this medication? to A. Activated partial thromboplastin time A. Activated (aPTT) B. Prothrombin time (PT) B. C. Platelets Platelets D. Hemoglobin and hematocrit D. 96 A patient has indications of an ST-elevation myocardial infarction. Which five medications would the nurse consider routine therapy for this patient? A. Beta blocker, angiotensin II receptor blocker A. (ARB), oxygen, clopidogrel, and heparin clopidogrel, B. Aspirin, angiotensin-converting enzyme (ACE) B. inhibitor, diuretic, warfarin, and morphine inhibitor, C. Aspirin, beta blocker, oxygen, morphine, and C. nitroglycerin D. Heparin, oxygen, nitroprusside, ACE inhibitor, and 97 97 morphine A woman asks the nurse why a vitamin with folic acid is needed during pregnancy. The nurse should: A. inform the woman that folic acid prevents neural A. tube defects in the fetus. B. refer the woman to her healthcare provider for more information. C. instruct the woman about the benefits of folic acid to prevent premature birth during pregnancy. pregnancy. D. teach the woman how folic acid taken during D. pregnancy prevents cerebral palsy. 98 98 A patient receives a dose of epoetin alfa (Epogen) 3 times per week. What laboratory value will the nurse monitor to determine the therapeutic benefit of this medication? A. White blood cell count White B. Hemoglobin B. C. Serum potassium D. Platelet count 99...
View Full Document

{[ snackBarMessage ]}

Ask a homework question - tutors are online