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- Which of the following should the nurse interpret as an indication of a complication after the first few days of TPN therapy? Question 77 options: a) Elevated temperature b) Elevated HbA1c c) Decreased appetite d) A 0.45-0.9 kg weight gainThe nurse is revieing the history of a patient ho ill be starting the triptan sumatriptan (Imitrex) as part of treatment for migraine headaches. Which condition, if present, may be a contraindication to triptan therapy?a) Cardiovascular diseaseb) Chronic bronchitisc )History of renal calculid )Diabetes mellitus type 24)The nurse completes an admission assessment on an older adult patient. The nurse identifies which factor that may contribute to falls A) Poly pharmacy b) exposure to sunlight c)taking antacids d)increased fluid intake
- When giving metronidazole, the nurse implements appropriate administration techniques, including which of these? (Select all that apply.) a )Giving oral forms with foodb )Giving oral forms on an empty stomach with a full glass of waterc )Infusing intravenous doses over 30 to 60 minutesd )Administering intravenous doses by bolus over 5 minutes e) Obtaining ordered specimens before starting the medicationA patient’s chart includes an order that reads as follows: “Lanoxin 250 mcg once daily at 0900.” Which action by the nurse is correct? a )The nurse gives the drug via the transdermal route. b )The nurse gives the drug orally. c) The nurse gives the drug intravenously. d) The nurse contacts the prescriber to clarify the dosage routeThe nurse is reviewing new medication orders that have been written for a newly admitted patient. The nurse will need to clarify which orders? Select all that apply. a )Metformin (Glucophage) 1000 mg PO twice a dayb )Sitagliptin (Januvia) 50 mg dailyc) Simvastatin (Zocor) 20 mg PO every eveningd )Irbesartan (Avapro) 300 mg PO once a daye )Docusate (Colace) as needed for constipation
- The nurse is performing an assessment of a patient who is asking for a prescription for sildenafil (Viagra). Which finding would be a contraindication to its use? a )Age of 65 yearsb) History of thyroid diseasec) Medication list that includes nitratesd )Medication list that includes saw palmettoA patient has been instructed to use an over-the-counter (OTC) form of the bulk-forming laxative methylcellulose (Citrucel) to prevent constipation. The nurse will advise the patient of potential adverse effects, including (Select all that apply) a) fluid and electrolyte disturbances.b )decreased absorption of vitamins.c )gas formation.d )darkened stools.e )discolored urine.A client with type 2 diabetes mellitus and hypertension is admitted with cellulitis of the right leg due to an imbedded thorn from gardening. The client is receiving an intravenous infusion for antibiotic administration and is on bedrest with the right leg elevated on a pillow. Which finding should the nurse identify may indicate an emerging situation? A) myalgia in wrists and hands B) persistent headache C) dark yellow urine D) hyperactive bowel sounds
- The nurse is reviewing a patient's medication orders for prn (as necessary) medications that can be given to a patient who has bronchitis with a productive cough. Which drug will the nurse choose? a )An antitussive b)An expectorant c) An antihistamine d )A decongestanta patient with a history of hypertensionasks the nurse if they could take psudoephedrie(sudafed) for a cold. For which health conditions are decongestants contraindicated? a)hypertension b)narrow angle glaucoma c)uncontrolled cardiovascular disease d)history of cva(cerebrovascular accident) e)diabetesThe nurse would consider which of the following assessment findings as an adverse effect of sulfonylurea therapy? Question 70 options: a) Weight loss b) Hypoglycemia c) Gastrointestinal distress d) Lactic acidosis