A clinic patient who has cirrhosis of the liver develops hypervolemic hypernatremia. Which medication will the nurse expect the provider to order?
a. Conivaptan [Vaprisol]
b. Desmopressin [DDAVP]
c. Tolvaptan [Samsca]
d. Vasopressin [Pitressin]
C
Tolvaptan is an oral vasopressin antagonist indicated for reducing hypernatremia in patients with euvolemic or hypervolemic hypernatremia. Conivaptan has the same indications, but it is admi-nistered IV for hospitalized patients. Desmopressin and vasopressin are antidiuretic hormone re-placement medications that will make the condition worse.
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A patient with a history of chronic pain has responded favorably to a new pain control regimen that exemplifies the principles of balanced analgesia
If the nurse were administering the patient's scheduled 08:00 medications, which of the following best demonstrates balanced analgesia? A) 650 mg acetaminophen PO and 1 mg lorazepam SL B) 4 mg morphine PO and 1 mg morphine IV C) 2 mg hydromorphone PO and 600 mg ibuprofen PO D) 10 mg morphine extended-release PO and 2 mg morphine immediate-release PO
Nurses derive much of their core power from being ____
a. Authority figures in emergent situations b. Highly respected and trusted by the public c. Organized through public associations d. The care coordinator of the health care team
Making long-term meaningful improvement in patient safety requires changing the underlying human dynamics involved in individual and organizational behavior
Indicate whether this statement is true or false.
A nurse administering medications to a variety of clients on a medical–surgical floor recognizes that which clients may need additional education about medication adherence?
Standard Text: Select all that apply. 1. Fifty-year-old recently remarried male taking antihypertensive medication 2. Thirty-four-year-old female with family history of blood clots taking an estrogen oral contraceptive 3. Sixty-eight-year-old male recently started on antidepressants known to cause gynecomastia 4. Twenty-eight-year-old female started on acne medication known to cause male-patterned hair growth 5. Seventy-eight-year-old male taking estrogen as therapy for prostate cancer