A cardiovascular nurse is treating a smoker with a high risk for cardiovascular disease. Which of the following should the nurse discuss with the patient?
A. Outline the health risks associated with smoking.
B. Share statistics about adverse health outcomes related to smoking.
C. Both 1 and 2
D. Recommend smoking more.
ANS: C
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The nurse is reviewing a patient's chart prior to administering gentamycin (Garamycin) and notes that the last serum peak drug level was 9 mcg/mL and the last trough level was 2 mcg/mL. What action will the nurse take?
a. Administer the next dose as ordered. b. Obtain repeat peak and trough levels before giving the next dose. c. Report possible drug toxicity to the patient's provider. d. Report a decreased drug therapeutic level to the patient's provider.
A 32-year-old primipara who is 8 weeks' gestation asks you if she should expect any respiratory changes as her pregnancy progresses. What should the nurse tell her?
1. "By the third trimester, you will no longer feel as though you're short of breath." 2. "If you develop shortness of breath, it should improve in the last few weeks of your pregnancy, as lightening occurs." 3. "Shortness of breath is an abnormal finding during any stage of pregnancy, and it's considered a serious complication." 4. "You may experience shortness of breath due to stretching of the round ligament."
Identify an accurate statement about oxytocin.
A. There is no role for oxytocin as a pharmacologic agent beyond labor and delivery at present. B. Oxytocin is synthesized in the posterior lobe of the pituitary in women. C. Oxytocin is synthesized only in the testes and prostate gland in men. D. A fall in oxytocin levels correlates with orgasm intensity in men and women.
A patient with acute kidney injury (AKI) demonstrates blue mottling of the skin in her fingers. What other finding would tend to indicate that the cause of this condition is intrarenal?
A) Distended bladder B) Edema C) Strep throat infection D) Kinked Foley catheter