A 75-year-old patient with chronic obstructive pulmonary disease (COPD) is prescribed tiotropium (Spiriva), an inhaled drug that must be loaded into a Handihaler with each dose. The patient has all of the following health problems
For which problem does the nurse suggest to the prescriber that this drug may not be appropriate? a. Reduced hearing
b. Visual impairment
c. Chronic high blood pressure
d. Arthritis of hands and knees
D
The Handihaler is a dry powder inhaler that needs to be loaded by the patient and requires con-siderable manipulation. This action can be difficult or even impossible for patients with arthritis of the hands. This drug delivery choice is not appropriate for this patient and the nurse should ask the prescriber to consider an inhaler type that does not require loading of the drug.
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A) The Declaration of Independence B) The Civil War C) The abolition of slavery D) The entry of the United States into World War II
Convert 4,800 minutes to an equivalent amount in days
1. 3? days 2. 21 days 3. 200 days 4. ½ day
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A patient weighing 80 kg is receiving resuscitative care for a burn to 46% of total body surface area
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