A patient who has been taking metformin (Glucophage) for a year is seen in the clinic and has all of the following laboratory results. Which result do you report to the prescriber immediately?
a. Blood urea nitrogen (BUN) 38 mg/dL
b. Red blood cell (RBC) count 4.1 million/mm3
c. Random blood glucose level 135 mg/dL
d. Alkaline phosphatase 40 IU/L
ANS: A
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A staff nurse is counseling a depressed client. The nurse determines that the client is using the cognitive distortion of "automatic thoughts." Which client statement is evidence of the "automatic thought" of discounting positives?
1. "It's all my fault for trusting him." 2. "I don't play games. I never win." 3. "She never visits because she thinks I don't care." 4. "I don't have a green thumb. Any old fool can grow a rose."
In which situation would it be appropriate to obtain a fetal scalp blood sample to establish fetal well-being?
a. The fetal heart tracing shows a persistent pattern of late decelerations with normal baseline variability. b. The mother has vaginal bleeding, and the baseline fetal heart rate is decreasing. c. The fetus has developed tachycardia related to maternal fever. d. The fetal heart tracing on a preterm fetus shows decreased baseline variability.
An 83-year-old patient has been prescribed finasteride (Proscar) to decrease glandular cellular activity and prostate size. The patient should:
A) Avoid the use of saw palmetto B) Decrease the intake of fluids to prevent retention C) Have a penile implant for erectile dysfunction D) Prepare for transurethral needle ablation
Which of the following is a key strategy to improving maternal health?
A) Decreasing access to skilled birth attendants B) Preventing pregnancies in women older than 40 years C) Preventing multiple birth pregnancies D) Increasing access to prenatal care