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Various aspects of the nursing process, including nursing interventions and patient teaching related to medication administration and nutrition. It discusses the importance of patient education, medication safety, and the nurse's role in ensuring effective and safe medication management. The document delves into topics such as the nursing process, nclex competencies, cognitive levels, vitamin supplementation, medication absorption, and medication administration principles. It provides insights into the legal and regulatory frameworks governing medication administration by nurses, as well as the specific considerations for pediatric medication use. The document emphasizes the nurse's responsibility in educating patients, monitoring for potential side effects, and collaborating with healthcare providers to ensure optimal patient outcomes.
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Vitamin D is needed for calcium absorption from the intestines and plays a major role in regulating calcium and phosphorus metabolism. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Nursing Intervention MSC: NCLEX: Physiological Integrity: Basic Care and Comfort: Nutrition
a. (^) Contact the provider to discuss possible thromboembolism. b. (^) Discuss decreasing the patient's dose of nicotinic acid with the provider. c. (^) Reassure the patient that these effects will decrease over time. d. (^) Suggest that the patient take niacin with a full glass of cool water. ANS: B Large doses of niacin can cause gastrointestinal irritation and vasodilation, resulting in a flushing sensation. Decreasing the dose can alleviate these symptoms. They do not indicate development of thromboembolism. Taking niacin with a full glass of water does not alleviate these symptoms. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Nursing Intervention MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
d. (^) “Symptoms of folic acid deficiency often do not appear for months.” ANS: D Symptoms of folic acid deficiency usually are not noted until 2 to 4 months after folic acid storage is depleted. Synthetic folate is more stable and has greater bioavailability when compared with dietary folate. Large doses are not recommended. One-third of folic acid is stored in the liver with the rest stored in tissues. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Nursing Intervention: Patient Teaching MSC: NCLEX: Physiological Integrity: Basic Care and Comfort: Nutrition
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
MULTIPLE CHOICE
(Comprehension) TOP: Nursing Process: Nursing Intervention MSC: NCLEX: Management of Care
MSC: NCLEX: Management of Care
Patient-assist programs may be helpful, but many are dependent on the patient's income, so the nurse should determine that first. It is unlikely that the pharmacy would offer a cost reduction. The patient has demonstrated an inability to navigate the system by simply not taking the medication, so only providing a phone number to the patient is not likely to be effective. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Assessment/Nursing Intervention MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
d. (^) veracity. ANS: A All participants have the right to autonomy, which is the right to self-determination. Patients have the right to refuse to participate or to withdraw from a study at any time without penalty even if the health care provider disagrees with that choice. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: N/A MSC: NCLEX: Management of Client Care
If a nurse suspects that a patient is being coerced to participate in the study, the nurse should report this to the principal investigator. When a patient verbalizes participation based on a financial reward, there is a potential element of coercion. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Nursing Intervention MSC: NCLEX: Management of Client Care
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
The Pediatric Research Equity Act requires drug manufacturers to test drugs on children. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Nursing Intervention MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies