A patient is receiving the medication octreotide (Sandostatin) as a treatment for acromegaly. What should the nurse explain regarding this medication?
a. It reverses the effects of acromegaly.
b. It should be given on a daily basis by in-jection.
c. It increases insulin secretion causing hy-poglycemia.
d. It suppresses the growth hormone.
D
Sandostatin will suppress growth hormone, but it will not reverse the effects of acromegaly. It is administered three times a week, and suppresses insulin secretion causing hyperglycemia.
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The nurse is caring for a patient who is receiving gentamicin, 250 mg and fluconazole (Diflucan), 500 mg at the same time. The nurse knows that if these two drugs competed with each other for protein-binding sites, what would this do?
A) Make the patient gentamicin deficient B) Make the patient fluconazole deficient C) Counteract any positive benefit the drugs would have D) Alter the effectiveness of both drugs
How does the available staff influence the selection of either continuous electronic or intermittent auscultation as the fetal monitoring method?
a. There must be a one-to-one nurse-to-client ratio regardless of the method used. b. Staffing patterns do not influence fetal monitoring choices. c. Use of intermittent auscultation requires a lower nurse-to-client ratio. d. More nurses are needed when electronic fetal monitoring is used because of increased medical interventions.
What should the nurse consider when providing support to a family whose infant has just been diagnosed with biliary atresia?
a. The prognosis for full recovery is excellent. b. Death usually occurs by 6 months of age. c. Liver transplantation may be needed eventually. d. Children with surgical correction live normal lives.
A forensic nurse is implementing Hammer's definition of caring. Which of the following actions would the nurse most likely perform?
a. Utilizing intuition when assessing a client b. Providing self-care and care for the client c. Assuring that the client's basic needs are met d. Assessing the bio-psychosocial and spir-itual characteristics of the client