Author Question: The patient requires support, and an abdominal binder is ordered. How does the nurse correctly ... (Read 54 times)

Ebrown · **on:** Jul 22, 2018

The patient requires support, and an abdominal binder is ordered. How does the nurse correctly implement the use of the binder?

a. By using it as a replacement for underlying dressings
b. By keeping it loose for patient comfort
c. By having the patient sit or stand when it is applied
d. By making sure the patient has adequate ventilatory capacity

Question 2

A 70-year-old patient is newly admitted to a skilled nursing facility with the diagnoses of Alzheimer's dementia, lipidemia, and hypertension, and a history of pulmonary embolism.

Medications brought on admission included lisinopril, hydrochlorothiazide, warfarin, low-dose aspirin, ginkgo biloba, and echinacea. The nurse contacts the patient's medical provider over which potential drug-drug interaction? a. Lisinopril and echinacea
b. Warfarin and ginkgo biloba
c. Echinacea and warfarin
d. Lisinopril and hydrochlorothiazide

ilianabrrr · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

D

Feedback
A Wounds should be entirely covered with dressings; the binder is applied over the dressing.
B The binder should not be loose, or it will be ineffective in providing support.
C The patient should be lying supine with head slightly elevated and knees slightly flexed for application of the abdominal binder.
D After applying the binder, the nurse should assess the patient's ability to ventilate properly, including deep breathing and coughing.

Answer to Question 2

B
Warfarin and blood thinners interact with ginkgo biloba as designed to improve memory. All herbal supplements should be evaluated with current pharmacological medications. The other options do not have drug interactions with each other.