Which laboratory finding does the nurse report to the prescriber before giving any antihyperlipi-demic drug?
a. Aspartate aminotransferase 41 IU/L
b. Alanine aminotransferase 24 IU/L
c. Alkaline phosphatase 130 IU/L
d. Gamma-glutamyltransferase 50 IU/L
A
The normal range for aspartate aminotransferase is 10 to 34 IU/L. This laboratory value is high and indicates that the patient has liver problems. One of the side effects of these drugs is liver damage. All of the other liver functions tests are within normal limits.
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The nurse is caring for seven patients this shift. After completing their assessments, the nurse states that he doesn't know where to begin in developing care plans for these patients. Which of the following is an appropriate suggestion by another nurse?
a. "Choose all the interventions and perform them in order of time needed for each one." b. "Make sure you identify the scientific rationale for each intervention first." c. "Decide on goals and outcomes you have chosen for the patients." d. "Begin with the highest priority diagnoses, then select appropriate interventions."
The patient is undergoing lab work and ultrasound for a possible diagnosis of polycystic ovarian syndrome (PCOS). Which problem does the nurse expect to find in the patient's history?
1. Multiple first-trimester fetal losses 2. Dyspareunia 3. Vulvitis 4. Oligomenorrhea
The nurse knows that atropine (Atropair) increases heart rate by
1. blocking the beta receptors of the parasympathetic nervous system. 2. directly stimulating the sympathetic nervous system. 3. potentiating the effects of acetylcholine on nicotinic receptors. 4. Blocking the effects of acetylcholine by occupying muscarinic receptors.
A patient with multiple sclerosis needs pharmacologic treatment for spasticity in order to begin strengthening exercises to improve walking ability. The nurse anticipates that which medication will be ordered for spasticity?
a. Baclofen (Lioresal) b. Dantrolene (Dantrium) c. Diazepam (Valium) d. Metaxalone (Skelaxin)