Mrs. Silver is currently taking Lasix, 40 mg bid; digoxin, 125 mg qd; and Inderal, 20 mg qd. Which of the following laboratory values would be of concern to you?
a. Digoxin level 1.0 ng/mL
b. Potassium level 2.5 mEq/L
c. Potassium level 4.0 mEq/L
d. Sodium level 140 mEq/L
B
Patients receiving digoxin are at high risk from arrhythmias secondary to low potassium levels. Res-ponses A, C, and D are normal values. Response B is low and would be a concern for the nurse.
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A patient is receiving nystatin for a fungal infection of the mouth. Which of the following adverse effects are most likely to be experienced with this form of nystatin?
A) Local irritation B) Burning C) Nausea D) Urinary urgency
What would be the preferred sense response to a resident who states, "I feel a mean streak in that nursing assistant"?
a. "Tell me what you see that makes you feel that way" b. "Mary is a very caring person and isn't mean at all" c. "What do you feel when Mary is caring for you?" d. "I know what you're talking about; she frightens me, too"
The nurse provides care in an inner-city hospital with a large immigrant population. In order to provide the most culturally competent care, the nurse should:
1. Plan to attend educational programs to understand ethnic differences in health values. 2. Discuss with the supervisor the types of patients for whom the nurse feels prepared to provide care. 3. Approach the care of every patient in the same manner. 4. Realize that the best care is standardized care.
Vitamin K is given to reverse the effects of which medication?
1. Warfarin (Coumadin) 2. Acetaminophen (Tylenol) 3. Enoxaparin (Lovenox) 4. Aspirin (ASA)