The nurse wants to discuss the biotransformation reaction to a student. What is the best explanation by the nurse?
1. Biotransformation reactions are the chemical conversion of drugs from one form to another that may result in increased or decreased activity.
2. Biotransformation is the final step in excretion of a drug from the body.
3. Biotransformation does not change the effect of a drug.
4. Biotransformation is the process of absorption.
1
Rationale 1:Biotransformation reactions are the chemical conversion of drugs from one form to another that may result in increased or decreased activity.
Rationale 2: Biotransformation is not the final step of excretion of a drug from the body.
Rationale 3: Biotransformation does not change the effect of a drug.
Rationale 4: Biotransformation is not the process of absorption.
Global Rationale: Biotransformation reactions are the chemical conversion of drugs from one form to another that may result in increased or decreased activity. Biotransformation is the final step in excretion of a drug from the body; it does not change the effect of a drug and is not the process of absorption.
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The nurse is working with a client whose religious beliefs differ from those of the general population. What is the best nursing intervention to use to meet the specific spiritual needs of this family?
1. Ask how important the client's religious and spiritual beliefs are when making decisions about health care. 2. Show respect while allowing time and privacy for religious rituals. 3. Ask for the client's opinion on what caused the illness. 4. Identify healthcare practices forbidden by religious or spiritual beliefs.
Modify your behavior in response to the patient's behavior.
Answer the following statement true (T) or false (F)
B.T., a 31-year-old man who lives in a small mountain town in Colorado, is highly allergic to dust and pollen and has a history of mild asthma
B.T.'s wife drove him to the emergency room when his wheezing was unresponsive to his fluticasone/salmeterol (Advair) inhaler, he was unable to lie down, and he began to use accessory muscles to breathe. B.T. is immediately started on 4 L oxygen by nasal cannula and intravenous (IV) D5W at 75 mL/hr. A set of arterial blood gases is sent to the laboratory. B.T. appears anxious and says that he is short of breath. Vital Signs Blood pressure (BP) 152/84 mm Hg Pulse rate 124 beats/min Respiratory rate 42 breaths/min Temperature 100.4 ° F (38.4 ° C) Are B.T.'s vital signs acceptable? State your rationale. What is the rationale for immediately starting B.T. on O2? Keeping in mind B.T.'s health history and presenting complaint, what are the most important areas you need to evaluate during your physical assessment? Arterial Blood Gases pH 7.31 Paco2 48 mm Hg HCO3 26 mmol/L Pao2 55 mm Hg Interpret B.T.'s arterial blood gas results. Medication Orders Albuterol 2.5 mg plus ipratropium 250 mcg nebulizer treatment STAT Albuterol (Ventolin) inhaler 2 puffs q4h Metaproterenol sulfate (Alupent) 0.4% nebulizer treatment q3h Fluticasone (Flovent HFA) MDI: 220 mcg, 1 puff twice daily What is the rationale for the albuterol 2.5 mg plus ipratropium 250 mcg nebulizer treatment STAT (immediately)? Indicate the drug classification and expected outcome B.T. should experience with using metaproterenol sulfate (Alupent) and Fluticasone (Flovent).
When listening to heart sounds, the nurse hears an S3 sound after S2. What should the nurse suspect is occurring with this patient?
A. Ventricular volume overload B. Inflammation of the pericardial sac C. Increased resistance to ventricular filling D. Stenotic mitral valve