Which of the following should the nurse keep in mind when caring for a patient receiving a cyproheptadine (CYP) inducer, such as phenytoin, and also glucocorticoid therapy?
A) Blood levels of prednisone will increase
B) Hepatic biotransformation of glucocorticoids is accelerated
C) Hepatic metabolism is decreased
D) Moderate absorption occurs when administered via the synovial and the conjunctival spaces
B
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The nurse is providing discharge education to an adult patient who will begin a regimen of ocular medications for the treatment of glaucoma
How can the nurse best determine if the patient is able to self-administer these medications safely and effectively? A) Assess the patient for any previous inability to self-manage medications. B) Ask the patient to demonstrate the instillation of her medications. C) Determine whether the patient can accurately describe the appropriate method of administering her medications. D) Assess the patient's functional status.
A patient with CRF who will begin receiving an erythropoiesis stimulating agent (ESA) is admitted to the hospital. The nurse notes that the patient's heart rate is 82 beats per minute, and the blood pressure is 140/100 mm Hg
A complete blood count reveals a hemoglobin of 8 gm/dL and a hematocrit of 29%. What will the nurse do? a. Administer the ESA and request an order for a blood transfusion. b. Withhold the ESA and request an order for an antihypertensive medication. c. Request an order to increase the dose of ESA to raise the hemoglobin more quick-ly. d. Suggest initiating dialysis while giving the ESA.
The Tuskegee study was ethically objectionable because informed consent was flawed, an available treatment was not provided, and deception was practiced
If informed consent had been properly administered and research subjects informed of the availability of penicillin when it became available, why would this still represent an ethically objectionable study? (Select all that apply.) a. The researcher has an obligation to actively do good for the research subjects; merely informing them of the availability of penicillin would not have been sufficient to meet this obligation. b. It took place in one state of the Union and so had limited generalizability. c. Some of the research subjects were illiterate and could not provide consent. d. There was no need for the study to be performed in the first place, since enough was known about syphilis at the time. e. Since African American men in Alabama were in an inferior social position, they constituted an underrepresented and potentially vulnerable population; every effort should have been made to include participants from other ethnic groups.
The nurse is caring for a postoperative client on the medical-surgical unit following a total left hip replacement the previous day. During the assessment, the nurse notes that the client's left leg is cool, with weak pedal pulses
What is the nurse's first action? a. Assess circulatory status of the right leg. b. Notify the surgeon immediately. c. Measure leg circumference at the calf. d. Check for bilateral Homans' signs.