A patient asks the nurse why the provider has ordered a transdermal form of a medication. How will the nurse respond?

a. "The patch can always be cut when dosage adjustments are needed."
b. "Drug levels fluctuate less with the patch."
c. "There are fewer systemic side effects with transdermal patches."
d. "There is less risk of toxicity when using a patch."


ANS: B
Transdermal patches provide more consistent blood levels. Cutting the patch is not recommended. Drugs given transdermally can still produce side effects and toxicity.

Nursing

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The nurse is attempting to take the blood pressure of a four-year-old child. The child is afraid of the sphygmomanometer. Which action by the nurse will help allay the child's feelings of anxiety?

1. Explain to the child: "I am just going to take your blood pressure." 2. Have the mother hold the child still while the nurse takes the blood pressure. 3. Allow the child to handle the equipment and then demonstrate how the equipment works. 4. Tell the child: "This won't hurt. I've had it done a bunch of times."

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The heartbeat normally originates in which part of the heart?

a. Purkinje fibers c. SA node b. AV node d. bundle of His

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Which type of governance allows all nurses within an organization to be involved in decision making related to their professional practice?

a. shared governance b. program management c. horizontal governance d. vertical governance

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If a nurse researcher wants to get information on the occurrence of an internationally impor-tant disease, where would be a good place to seek this information?

1. The United Nations website 2. The World Health Organization website 3. The World Bank website 4. The state health department

Nursing