After reviewing the client's chart upon admission to the unit, the nurse consults the health care provider about a new order for lovastatin (Mevacor). What triggered the nurse's action?
a. Blood glucose of 182 mg/dL
b. History of peptic ulcers
c. History of high cholesterol
d. Elevated liver enzymes
D
Treatment with any of the statins for elevated cholesterol and low-density lipoprotein (LDL) levels is contraindicated for clients with active liver disease because these agents can cause increases in liver function. No contraindications to the administration of statins to clients with diabetes mellitus, peptic ulcer disease, or rheumatoid arthritis are known.
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A nursing assessment is a process of collecting data to establish a database. The information contained in the database is a basis for:
a. a complete physical examination. b. a medical assessment. c. an individualized plan of care. d. writing nursing orders.
Approximately eight hours ago, Juanita, a 32-year-old G1, TPAL 1001, gave birth after two and one-half hours of pushing. She required an episiotomy and an assisted birth (forceps) due to the weight and size of her baby (9lb.–9oz.)
The perinatal nurse is performing an assessment of Juanita's perineal area. A slight bulge is palpated and the presence of ecchymoses to the right of the episiotomy is noted. The area feels "full" and is approximately 4 cm. in diameter. Juanita describes this area as "tender". The most likely cause of these signs and symptoms is: A) Hematoma formation B) Sepsis in the episiotomy site C) Inadequate repair of the episiotomy D) Postpartum hemorrhage
Select the drug of choice for the treatment of postpartum bleeding.
A. Carboprost B. Dinoprost C. Prostaglandin D. Methylergonovine
The daughter of an elderly patient with dementia tearfully tells the nurse that she doesn't know what's wrong with her mother, who has begun accusing the family of stealing her money
The nurse assesses the patient's stage of Alzheimer's disease as stage: a. 1 b. 2 c. 3 d. 4