The nurse cautions the older adult who is taking the protein-bound drug warfarin (Coumadin) that, with age-related reduced plasma protein levels, the risk of an adverse reaction is high because:
a. unbound active drug molecules continue to circulate in the bloodstream.
b. the bleeding and clotting time will decrease, as evidenced by the PT and INR.
c. the drug becomes ineffective and does not deliver its intended therapeutic action.
d. renal damage can occur from the altered drug molecules.
ANS: A
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The nurse knows that the dehydration associated with diabetic ketoacidosis results from
a. increased serum osmolality and urea. b. decreased serum osmolality and hyperglycemia. c. ketones and potassium shifts. d. acute renal failure.
The nurse is caring for a child diagnosed with autism spectrum disorder (ASD) who is being admitted to the hospital with dehydration. Which action by the nurse is appropriate when the child arrives to the care area?
A) Take the child on a tour of the pediatric unit. B) Take the child to the playroom for arts and crafts. C) Quietly orient the child to a single-bed hospital room. D) Orient the child to a four-bed unit.
The admitting nurse has just met a new patient. As the nurse introduces himself, he begins the process of inspection on this patient
What does the admitting nurse know it is important to do while observing during the process of inspection? A) Gather as much general information as possible B) Pay attention to the details while observing C) Write down as many details as possible during the observation D) Not to let the patient know he is being observed
Your pregnant patient complains of hemorrhoids. On physical examination, vital signs are 98.6 T, 80 pulse, 14 resps/min, 110/ 60. Heart has regular rate and rhythm, no S3, no murmurs. Lungs are clear to auscultation
Abdominal examination is negative. Uterus fundus is at the umbilicus. Ankles show +1/4 bilateral ankle non-pitting edema. Dorsalis pedis pulses +2/4 bilaterally. Rectal exam: + external haemorrhoid. Urine dipstick is negative for protein. The clinician should: A. Explain to patient to lie in left lateral recumbent position at night B. Refer patient to obstetric physician for diuretic prescription C. Obtain 24-hour urine for protein D. Obtain HbA1c and fasting serum glucose