A patient newly diagnosed with type 2 diabetes who is prescribed rosiglitazone (Avandia) has all the following health problems. For which problem does the nurse check with the prescriber to make certain rosiglitazone is an appropriate drug choice?
a. Severe asthma for the last 3 years
b. Myocardial infarction 1 year ago
c. Uncontrolled hypertension
d. Glaucoma
B
Rosiglitazone carries a black box warning because it can cause heart failure in some patients. Patients most at risk are those who have had a previous myocardial infarction. Although heart failure can worsen asthma, it is not worsened by rosiglitazone, nor does the drug cause hypertension or glaucoma.
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The nurse is conducting a health fair for older adults. Which statement is true regarding vital sign measurements in aging adults?
a. The pulse is more difficult to palpate because of the stiffness of the blood vessels. b. An increased respiratory rate and a shallower inspiratory phase are expected findings. c. A decreased pulse pressure occurs from changes in the systolic and diastolic blood pressures. d. Changes in the body's temperature regulatory mechanism leave the older person more likely to develop a fever.
The distal, funnel-shaped end of the fallopian tube is called the
a. adnexa. c. cornu. b. broad ligament. d. infundibulum.
The nurse supervises unlicensed assistive personnel (UAP) who are providing care for a patient with right lower lobe pneumonia. The nurse should intervene if which action by UAP is observed?
a. UAP splint the patient's chest during coughing. b. UAP assist the patient to ambulate to the bathroom. c. UAP help the patient to a bedside chair for meals. d. UAP lower the head of the patient's bed to 15 degrees.
The nurse has been talking with a client who has a delusion about being the President of the United States. One day a ward mate challenges him by saying, "If you were the President, you would not be here."
Shortly afterwards the nurse hears the client explaining that because of the Iraq war, the CIA has had to hide him in a psychiatric unit, so his enemies would not find him. The nurse should recognize which of the following in the client's statement? A) Delusions of control B) Systematized delusion C) Thought insertion D) Thought withdrawal