The nurse transcribes a new order for ranolazine (Ranexa) for a patient with chronic stable angina. Before initiating this medication, the nurse will ensure that which laboratory study result(s) is/are available? (Select all that apply.)
a. Electrocardiography
b. BUN
c. Creatinine
d. Electrolyte levels
e. CBC
ANS: A, B, C, D, E
Premedication assessment for ranolazine (Ranexa) includes assessment of results of electrocardiography; renal function tests such as BUN, serum creatinine, and electrolyte levels; and CBC. These results will serve as a baseline for future comparison.
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The nurse working in the clinic includes an adolescent history in every client intake interview. Which of these issues should the nurse address when the parents are not present?
1. Possible domestic violence 2. Teen job responsibilities 3. Activities done as a family 4. The adolescent's role in the family
What type of validity is demonstrated by examining the extent to which a passing grade in a nursing course is correlated with passing the registered nurse licensure examination?
a. Content validity b. Construct validity c. Predictive validity d. Concurrent validity
When analyzing a client's electrocardiograph (ECG) tracing, the nurse observes that not all QRS complexes are preceded by a P wave. What is the nurse's interpretation of this observation?
a. The client has hyperkalemia causing irre-gular QRS complexes. b. Ventricular tachycardia is overriding the normal atrial rhythm. c. The client's chest leads are not making sufficient contact with the skin. d. Ventricular and atrial depolarizations are initiated from different sites.
A patient tells the nurse that he won't fill the pain medication prescription when he goes home. Which of the following should the nurse do to help this patient?
1. Ask the patient if there is a reason why he won't fill the prescription. 2. Tell the health care provider to not write a prescription for the pain medication. 3. Suggest that the patient purchase and use over-the-counter pain medication instead. 4. Stop providing the patient with pain medication while he is still hospitalized.