A prescriber orders ramipril [Altace] for an obese patient with type 2 diabetes mellitus who has developed hypertension. The nurse provides teaching before dismissing the patient home
Which statement by the patient indicates understanding of the teaching? a. "I am less likely to develop diabetic nephropathy when taking this medica-tion."
b. "I should check my blood sugar more of-ten, because hyperglycemia is a side effect of this drug."
c. "Taking this medication helps reduce my risk of stroke and heart attack."
d. "This medication will probably prevent the development of diabetic retinopathy."
C
Ramipril [Altace] is approved for reducing the risk of stroke and myocardial infarction (MI) in patients at high risk for a major cardiovascular event because they have hypertension in conjunc-tion with a history of stroke or MI or because they have diabetes. ACE inhibitors cannot be used for primary prevention of diabetic nephropathy, but they can delay the onset of overt nephropa-thy in patients who already have less advanced nephropathy. ACE inhibitors do not affect serum electrolytes or glucose. One ACE inhibitor, enalapril, can reduce the risk of diabetic retinopathy in some patients with type 1 diabetes mellitus.
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Which describes where the drop factor would be found when administering IV fluids?
A. on the package containing the tubing B. in a PDR C. on the package insert for the medication D. on the physician's order sheet
The nurse is caring for a patient whose condition has deteriorated and who is not responding to standard treatment. The physician calls for an ethical consultation with the family to discuss potential withdrawal versus aggressive treatment
The nurse understands that applying a model for ethical decision making involves which of the following? (Select all that apply.) a. Burden versus benefit b. Family's wishes c. Patient's wishes d. Potential outcomes of treatment options
When the patient complains of urinary retention, the nurse can help the patient to void by: (Select all that apply.)
a. accompanying the patient to the toilet. b. offering caffeine or carbonated drinks. c. providing a warm bath. d. instructing in the double void technique. e. running water in the lavatory to stimulate urination.
Which statement by the nurse indicates understanding of the General Systems Theory?
a. "It is a 5-step process of an individual's decision to adopt an innovation.". b. "It is known as a change theory.". c. "It includes knowledge, persuasion, deci-sion, implementation, and confirmation.". d. "It organizes interdependent parts work-ing together to produce a product that none used alone could produce.".