Which types of drugs taken by a pregnant patient are more likely to have effects on a fetus?
a. Drugs that are highly polar
b. Ionized drugs
c. Lipid-soluble drugs
d. Protein-bound drugs
C
Lipid-soluble drugs cross the placenta more readily. Drugs that are highly polar, ionized, or pro-tein bound cross the placenta with difficulty.
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To be of most help to patients who are dying and their families, nurses must:
a. keep abreast of the latest trends and findings associated with end-of-life issues. b. examine their own feelings, thoughts, and beliefs about death and dying. c. incorporate all aspects of best practices in promoting health. d. all of the above
For which of the following reasons may tube-feeding formulas, such as Impact, Osmolite HN, or Peractive, be recommended to clients?
A) To suppress immune system function B) To block tumor necrosis factor C) To enhance the production of lymphocytes and NK cells D) To stimulate the immune system to attack tumor cells
The nurse assesses several postoperative clients receiving patient-controlled epidural analgesia (PCEA). Which client does the nurse prioritize to assess first?
a. Client receiving bupivacaine (Marcaine) describing "inability to move legs" b. Client receiving fentanyl (Sublimaze) de-scribing "itchy arms" c. Client receiving hydromorphone (Dilau-did) describing "full feeling" d. Client receiving morphine describing "difficulty staying awake"
After starting treatment for type 2 diabetes
mellitus 6 months earlier, a patient is in the office for a follow-up examination. The nurse will monitor which laboratory test to evaluate the patient's adherence to the antidiabetic therapy over the past few months? a. Hemoglobin levels b. Hemoglobin A1C level c. Fingerstick fasting blood glucose level d. Serum insulin levels