The nurse would teach a patient receiving octreotide for acromegaly of the importance of baseline and periodic what?
A) Ultrasound evaluation of the gallbladder
B) Magnetic resonance imaging (MRI) of the brain
C) Serum glucose levels
D) Complete blood counts
A
Feedback:
Arrange for baseline and periodic ultrasound evaluation of the gallbladder for patients receiving octreotide because common adverse effects of the drug are acute cholecystitis, cholestatic jaundice, biliary tract obstruction, and pancreatitis. A patient taking octreotide does not need baseline and periodic MRIs of the brain, serum glucose levels, or complete blood counts.
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Talwin given in combination with Vistaril diminishes the adverse effects of nausea caused by the Talwin. This drug interaction affecting the pharmacodynamics of the Talwin is
A) an additive effect. B) a synergistic effect. C) a potentiated effect. D) an antagonistic effect.
A 3-year-old girl has just been diagnosed with type 1A diabetes. Her parents are currently receiving education from the diabetes education nurse
How can the nurse best explain to the parents the etiology (cause) of their daughter's diabetes? A) "The problem that underlies her diabetes is that her own body has destroyed the cells in her pancreas that produce insulin." B) "It's not known exactly why your daughter has completely stopped making insulin, and treatment will consist of your rigidly controlling her diet." C) "This tendency to produce insufficient amounts of insulin is likely something that she inherited." D) "Environmental and lifestyle factors are known to play a part in the fact that her pancreas secretes and withholds insulin at the wrong times."
While reviewing the health history of an older adult experiencing hearing loss the nurse notes the patient has had no trauma or loss of balance. What aspect of this patient's health history is most likely to be linked to the patient's hearing deficit?
A) Recent completion of radiation therapy for treatment of thyroid cancer B) Routine use of quinine for management of leg cramps C) Allergy to hair coloring and hair spray D) Previous perforation of the eardrum
The informatics nurse is using outcomes research to determine the effectiveness of changes made to the electronic health record. On which concepts should the nurse focus? Select all that apply
A) Accelerating the diffusion of research into practice B) Linking treatments and outcomes data through databases C) Minimizing variations in practice by developing quality guidelines D) Analyzing databases so results can be quickly and easily disseminated E) Providing ways to systematically measure the functioning and well-being of patients