The nurse is caring for a 15-year-old patient who has undergone a liver transplant. Which provider order will the nurse question?
a. Cyclosporine [Sandimmune] and ketoco-nazole [Nizoral]
b. Everolimus [Zortress] 1 mg twice daily
c. Prednisone 60 mg daily
d. Tacrolimus [Prograf] 50 mcg/kg twice daily the day after surgery
B
Everolimus is not approved in patients younger than 18 years of age. Ketoconazole can decrease the metabolism of cyclosporine and is often given concurrently to allow lower dosing and lower cost. Prednisone and tacrolimus are commonly used, and these doses are correct.
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A nurse is assisting a physician with a lumbar puncture. The nurse notices that the physician broke sterile technique when putting on the sterile gloves. What action should the nurse take next?
A. Tell the physician to stop the procedure immediately to prevent the patient from getting meningitis B. Discuss the incident with the physician after the procedure is completed so antibiotics may be ordered C. Notify the medical director of the incident so peers can handle the situation D. Inform the physician immediately and provide the physician with a new set of sterile gloves
The nurse is working with a group of senior citizens in helping them develop weight loss goals. The seniors are surprised to learn that traditional height–weight calculations to determine "ideal" body weight have now been replaced by what?
A) Body mass index C) Desirable weight chart B) Basal metabolic rate D) Kilogram/meter calculations
A patient of Jewish heritage is experiencing body aches and fatigue. The nurse notes that the patient's skin appears pale and yellow-tinged. What nutritional health problem should the nurse suspect is occurring in this patient?
A. Lynch Syndrome B. Gaucher disease C. Hypercholesterolemia D. Tangier disease
Metabolic changes throughout pregnancy that affect glucose and insulin in the mother and the fetus are complicated but important to understand. Nurses should understand that:
a. Insulin crosses the placenta to the fetus only in the first trimester, after which the fetus secretes its own. b. Women with insulin-dependent diabetes are prone to hyperglycemia during the first trimester because they are consuming more sugar. c. During the second and third trimesters, pregnancy exerts a diabetogenic effect that ensures an abundant supply of glucose for the fetus. d. Maternal insulin requirements steadily decline during pregnancy.