Glen is an 82-year-old patient who needs to be prescribed a new drug. What changes in elimination should be taken into consideration when prescribing for Glen?
1. Increased glomerular filtration rate (GFR) will require higher doses of some renally excreted drugs.
2. Decreased tubular secretion of medication will require dosage adjustments.
3. Thin skin will cause increased elimination via sweat.
4. Decreased lung capacity will lead to measurable decreases in lung excretion of drugs.
2
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An adult patient with an autoimmune disorder regularly takes oral corticosteroids. The nurse knows that corticosteroids can be used in the successful treatment of inflammation but that they also create a risk for
A) bleeding. B) leukocytosis. C) infection. D) electrolyte imbalances.
The prenatal clinic nurse is caring for a patient with hyperemesis gravidarum at 14 weeks' gestation. The vital signs are: blood pressure 95/48, pulse 114, respirations 24. Which order should the nurse implement first?
1. Weigh the client. 2. Give 1 liter of lactated Ringer's solution IV. 3. Administer 30 ml Maalox (magnesium hydroxide) orally. 4. Encourage clear liquids orally.
Which ethical principle reflects respect for all persons and their self-determination?
a. Autonomy c. Justice b. Beneficence d. Veracity
Apart from individual patient risk factors, which of the following pairs of factors is associated with the potential for adverse effects during hormone replacement therapy?
A. Dose and increased prothrombin levels B. Dose and length of treatment C. Hypertension and hypercholesterolemia D. Increased prothrombin levels and length of treatment