A 90-year-old patient's most recent blood work includes the following data: alanine aminotransferase (ALT) 1.99 kat/L (high) and aspartate aminotransferase (AST) 3.1 kat/L (high)
What implication do these data have for the patient's pharmacokinetics? A) Distribution of drugs may be erratic.
B) Absorption of drugs may be incomplete.
C) Excretion of drugs may be delayed.
D) Metabolism of drugs may be impaired.
D
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AST and ALT levels are used to determine the patient's liver function and ability to metabolize drugs.
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A pregnant woman at 30 weeks gestation is in the CCU with severe eclampsia. She is experiencing pulmonary edema, severe oliguria, and hypotension and continues to have seizures
She is endotracheally intubated, supported by a mechanical ventilator, and is receiving intravenous magnesium sulfate at 3 g/hr; the serum magnesium level is 8 mg/dL. She is beginning spontaneous early labor. What is the most important intervention? A) Administer medication to delay the onset of labor, as is preterm. B) Increase the dose of magnesium sulfate to control seizures. C) Facilitate delivery of the baby, as eclampsia is worsening. D) Administer high-dose diuretics for the pulmonary edema.
The ovaries of a 55-year-old woman are producing only minimal amounts of estrogen
What effect should the nurse expect this decreased estrogen secretion to have on hypothalamic production of gonadotropin-releasing hormone (Gn-RH) and anterior pituitary production of follicle-stimulating hormone (FSH)? A. Increased Gn-RH, increased FSH B. Increased Gn-RH, decreased FSH C. Decreased Gn-RH, increased FSH D. Decreased Gn-RH, decreased FSH
The nurse is planning to use evidence-based practice to help guide the care of a client. In which order should the nurse implement the steps of EBP?
1. Design practice change. 2. Assess the need for a change in practice. 3. Integrate and maintain change in practice. 4. Implement and evaluate the change. 5. Critically analyze the evidence. 6. Locate the best evidence.
The nurse is considering employment in a correctional facility. Which action should the nurse take before accepting the position?
1. Ensure immunizations are current 2. Reconcile personal moral objections 3. Investigate other employment opportunities 4. Complete continuing education courses about the facilities