The perinatal nurse understands that the purpose of combining an opioid with a local anesthetic agent in an epidural is primarily for which of the following?
A.
Decrease the number of side effects
B.
Increase the intensity of the block
C.
Increase the total anesthetic volume
D.
Preserve more maternal motor function
ANS: D
Combining an opioid with a local anesthetic agent reduces the total amount of anesthetic required and helps to preserve a greater amount of maternal motor function.
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The nurse is teaching a patient who will begin receiving targeted therapy for cancer. The patient asks how targeted therapy differs from other types of chemotherapies. The nurse will explain that targeted therapy
a. damages cancer cell DNA to prevent cell replication. b. directly kills or damages cancerous cells. c. interferes with specific molecules in cancer cells. d. prevents metastasis of cancer cells.
A client is prescribed intermittent intravenous heparin therapy to treat deep vein thrombosis (DVT). Which laboratory value should the nurse review prior to administering this medication?
1. Prothrombin time (PT) 2. Fibrinogen level 3. Activated partial thromboplastin time (APTT) 4. Factor VIII level
Which should the nurse anticipate to be included in the client's treatment plan during the intravenous sargramostim (Leukine)?
A. ECG monitoring B. Insertion of indwelling urinary catheter C. Administration of oxygen D. Administration of an antiemetic
You are teaching a young woman who is taking Glipizide (Glucotrol) for Type II Diabetes. She is wondering how this medication works. What will you teach her?
A. Promotes weight loss which will help decrease insulin resistance B. Blocks enzymes in the small intestine that break down complex carbohydrates which delays digestion of glucose C. Stimulating the pancreas to produce more insulin D. Inhibits hepatic gluconeogenesis, thus lowering your blood sugar