After reviewing M.G.'s medications, the physician writes the following medication orders
Medication Orders
Enalapril (Vasotec) 5 mg PO bid
Carvedilol (Coreg) 3.125 mg PO twice daily
Glipizide (Glucotrol) 10 mg PO every morning
Furosemide (Lasix) 80 mg intravenous push (IVP) now, then 40 mg/day IVP
Potassium chloride (K-Dur) 20 mEq/day PO
What is the rationale for changing the route of the furosemide (Lasix)?
M.G. is fluid overloaded and needs to decrease fluid volume in a short period. Intravenous
administration is delivered directly into the vascular system, where it can start to work immediately.
In HF, blood flow to the entire gastrointestinal (GI) system is compromised; therefore the absorption
of orally ingested medications may be variable and take longer to work.
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An older woman had hip replacement surgery 1 day ago, and the nurse thinks that the woman also has dementia. Which patient assessment does the nurse use to determine whether this wom-an is experiencing pain?
a. Holds abdomen tightly. c. Is not verbalizing. b. Has stable vital signs. d. Moves during sleep.
An older person with a spinal cord injury wishes to be taken off of life support three months after his injury occurred. The physician will not allow this or sign the order for it. What two principles are in conflict in this situation?
a. autonomy versus paternalism b. autonomy versus justice c. nonmaleficence versus beneficence d. veracity versus fidelity
Droperidol (Inapsine) is used as a preanesthetic medication primarily because of its ability to act as a(n):
a. opioid analgesic. c. anticholinergic. b. antiemetic. d. muscle relaxant.
Which of the following statements regarding the effects of homelessness on health is accurate?
1. Peripheral vascular disease and hypertension are lessened by the lifestyle of the homeless. 2. The incidence and virulence of infections are decreasing among the homeless. 3. Trauma is a significant cause of death and disability. 4. Crowded living conditions result in decreased risk for exposure to infections.