A nurse provides health instructions to a client with bipolar disorder who is recently started on Lamotrigine tablets.
Which instruction should the nurse give to the client in case skin rash develops?
Lamotrigine and Skin Rash:
Lamotrigine is an anticonvulsant and mood stabilizer used in bipolar disorder.
A serious side effect is a potentially life-threatening skin rash, including Stevens-Johnson syndrome.
Instructions for Rash Development:
Not to Worry: Incorrect as skin rash can indicate a serious reaction.
Continue Medication: Incorrect and dangerous, as the rash could worsen.
Report Immediately: Correct. Immediate reporting is crucial for assessment and potential discontinuation of the drug.
Reduce Dose: Incorrect as any rash should be evaluated by a physician immediately.
A nursing instructor teaching a group of nursing students about the recommended diet for a patient with a myocardial infarction.
Which of the following points will be included in the teaching?
When teaching nursing students about the recommended diet for a patient with a myocardial infarction, it's crucial to emphasize a diet low in fat and cholesterol. This helps in reducing the risk of further cardiovascular complications.
Low Fat and Cholesterol: Foods low in saturated fat and cholesterol are recommended to prevent the build-up of plaque in the arteries and reduce the risk of another heart attack.
Avoiding Red Meat: High intake of red meat is discouraged because it is often high in saturated fat and cholesterol.
Dark Chocolate Intake: While some dark chocolate in moderation can have health benefits due to its antioxidant properties, the emphasis should be on a balanced diet.
Protein and Carbohydrates: Protein is essential for recovery, but the focus should be on lean sources. Carbohydrates should come from whole grains and other healthy sources rather than simple sugars.
American Heart Association (AHA): Dietary Recommendations for Cardiovascular Health
National Institutes of Health (NIH): Heart-Healthy Eating
An 11-year-old child with beta-thalassemia major is admitted for blood transfusion. The child underwent splenectomy last month.
Which of the following is a PRIORITY nursing intervention?
Beta-Thalassemia Major and Splenectomy:
Patients with beta-thalassemia major often require frequent blood transfusions.
Splenectomy increases the risk of infections due to loss of the spleen's immune function.
Priority Nursing Interventions:
Prevent Infections: The highest priority post-splenectomy due to the increased risk of sepsis and other infections.
High-Fat Intake, Frequent Voiding, Hydration: Important but secondary to infection prevention.
Centers for Disease Control and Prevention (CDC) guidelines on post-splenectomy care
National Institutes of Health (NIH) on Thalassemia Management
While caring for a patient with leg ulcers, the nurse expects the patient to receive which of the following medical managements?
Leg Ulcers Management:
Leg ulcers, especially chronic ones, require specific treatments to promote healing and prevent infection.
Medical Management Options:
Anticoagulant therapy: Typically used for conditions like deep vein thrombosis, not directly for leg ulcers.
Decompression therapy and Positive pressure therapy: Not standard treatments for leg ulcers.
Hyperbaric Oxygenation: This treatment involves breathing pure oxygen in a pressurized environment. It increases oxygen delivery to tissues, promotes healing, reduces inflammation, and fights infection, making it an effective treatment for chronic leg ulcers.
Wound Healing Society guidelines on leg ulcer treatment
National Institutes of Health (NIH) on Hyperbaric Oxygen Therapy
The nurse manager is providing orientation about the main goals of Occupational and Environmental Health Nursing (OEHN) to new appointed nurses.
Which statement by the nurse indicates the need for further instruction regarding the OEHN goal?
Occupational and Environmental Health Nursing (OEHN):
OEHN focuses on health and safety in the workplace, aiming to prevent work-related injuries and illnesses and promote overall worker health.
Goals of OEHN:
Keep Workers Productive: Ensuring employees are healthy to maintain productivity.
Manage Minor Workplace Injuries: Providing immediate care for minor injuries.
Promote Health for Workers: Specific to workplace health, not the entire population.
Develop Disease Prevention Programs: Creating programs to prevent workplace illnesses.
American Association of Occupational Health Nurses (AAOHN)
Occupational Safety and Health Administration (OSHA) guidelines
