Which blood laboratory test result is most important for the nurse to check before administering the first prescribed dose of carbadopa-levodopa (Sinemet) to a patient?
a. International normalized ratio (INR)
b. Blood urea nitrogen (BUN) level
c. White blood cell (WBC) count
d. Lactate dehydrogenase (LDH)
C
Carbidopa-levodopa can suppress bone marrow activity and reduce the circulating levels of WBCs (neutropenia), greatly increasing the risk for infection. More patients with Parkinson's disease are older adults and may already have some age-related decrease in immune function. Neutropenia and infection are more likely when the patient's WBC count is low before treatment with the drug is started.
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3 à· 1 5/6 = _____
a. 3 1/2 b. 1 7/11 c. 4/15 d. 2 1/3
An anesthesiologist completes preoperative teaching for a patient the night before surgery. The patient asks the nurse to clarify the reason methohexital [Brevital] will be given as an adjunct to the anesthetic
Which statement by the patient indicates understanding? a. "Brevital allows a larger amount of in-haled anesthetic to be used without in-creased side effects." b. "Brevital is given to enhance the analgesic and muscle relaxation effects of the in-haled anesthetic." c. "Brevital is used to produce rapid uncons-ciousness before administration of the in-haled anesthetic." d. "Brevital is used to reduce cardiovascular and respiratory depression caused by the inhaled anesthetic."
A patient has been admitted to the detoxification unit after binge drinking. Even though the patient is not currently intoxicated, he is combative and exhibits altered thought processes. Which nursing diagnosis would be the priority?
A) Risk for Injury related to effects of alcohol abuse B) Risk for Self-Mutilation related to alcohol withdrawal and altered thought processes C) Risk for Other-Directed Violence related to alcohol withdrawal D) Risk for Delayed Development related to chronic effects of alcohol intoxication
An angry client on an inpatient unit approaches a nurse, stating, "Someone took my lunch! People need to respect others, and you need to do something about this now!" The nurse's response should be guided by which basic assumption of milieu therapy?
A. Conflict should be avoided at all costs on inpatient psychiatric units. B. Conflict should be resolved by the nursing staff. C. Every interaction is an opportunity for therapeutic intervention. D. Conflict resolution should be addressed only during group therapy.