Which way of encouraging use of pharmacogenetic (PGx) information as it applies to prescribing medications should the nurse avoid?

1. Support efforts to make the use of this information mandatory.
2. Become involved in educating prescribers about PGx.
3. Encourage the use of electronic health records that flag PGx results when specific drugs are prescribed.
4. Support efforts to develop and distribute templates or flow sheets that would assist prescribers in making prescribing decisions.


1
Rationale 1: Making a new technology or process mandatory is a good way to cause prescribers to resist it.
Rationale 2: Education is a good way to build both a knowledge base in prescribers and a base of support for its use.
Rationale 3: The interplay of PGx results and drugs can be complex. If electronic flags appeared when circumstances indicate the need to alter prescription or dosing, prescribers would be encouraged to do so.
Rationale 4: Concise, written decision trees or flow sheets would make prescribing decisions easier.

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The clinic nurse is giving discharge instructions to the mother of a 12-year-old boy who has been diagnosed with a mild cold. Which statements by the mother demonstrate knowledge of care? (Select all that apply.)

a. "He will be receiving an antibiotic, cor-rect?" b. "I will be sure he drinks plenty of apple and orange juice." c. "If he runs a fever, I will give him 2 aspi-rin every 4 hours until his fever comes down." d. "I will be sure he washes his hands well so he doesn't pass this on to his younger sister." e. "Since his cold just started, zinc lozenges are a good idea for him to take."

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Regardless of the term used to describe high-quality health care, the focus of quality is:

a. what the consumer needs and wants. b. economical care. c. having the greatest technologic advancement. d. services equally distributed among populations.

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Which is the correct equation for converting 6 fl oz to cups?

A. 8 fl oz : x = 6 fl oz : 1 c B. x/6 fl oz = 8 fl oz/1 C. x fl oz = 1 c/8fl oz 6fl oz/1 D. x c = 1c/8 fl oz x 6 fl oz/1

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The nurse is caring for a battered woman in the emergency department. Which nursing guidelines are used in the care of this client? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply

1. Letting the woman tell her story at her own pace 2. Anticipating ambivalence toward the batterer 3. Acknowledging the woman's feelings as reasonable 4. Letting the woman figure out how to identify specific problems on her own 5. Allowing her to believe in false beliefs if it makes her feel more secure

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