When giving a medication to a pregnant patient, what must a paramedic consider before administration?
a. A drug may be stored in breast milk and given to the baby after birth
b. Giving half the normal dose to avoid drug toxicity in the fetus
c. Giving twice the normal dose because some drug is given to the fetus
d. The drug may pass the placental barrier and affect the fetus
Answer: d. The drug may pass the placental barrier and affect the fetus
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The nurse is caring for a patient taking dantrolene. How would the nurse assess the therapeutic effects of this drug?
A) Observe the patient when emotionally stressed to assess for exacerbation of spasticity. B) Discontinue the drug for 2 to 4 days and assess for exacerbation of spasticity. C) Measure the amount of spasticity before and after administration of medication. D) Collect a thorough history to ask the patient any improvement has been noticed.
A 71-year-old woman with a history of rheumatoid arthritis and chronic heart failure has been admitted to the hospital for the treatment of a suspected upper gastrointestinal bleed
When performing an assessment of this patient, which of the following questions most directly addresses a likely cause of the woman's bleeding disorder? A) "How closely do you tend to monitor your blood pressure when you're at home?" B) "Has your doctor prescribed a water pill for your heart failure?" C) "Do you ever take aspirin to treat the pain of your arthritis?" D) "Did either of your parents or siblings have problems with bleeding?"
A nurse is teaching a nursing class about working with homeless populations. Information about barriers to successful treatment of homeless clients who are mentally ill should be included in the nurse's presentation
Which of the following reasons for non-compliance with psychotropic medications should the nurse plan on mentioning to the class? A) Mistrust of medical personnel B) Lack of proper medication storage C) Chemical dependence on prescription medications D) Lack of motivation and literacy skills
You are working in the internal medicine clinic of a large teaching hospital. Today your first patient is 70-year-old J.M., a man who has been coming to the clinic for several years for management of coronary artery disease (CAD) and hypertension (HTN)
A cardiac catheterization done a year ago showed 50% stenosis of the circumflex coronary artery. He has had episodes of dizziness for the past 6 months and orthostatic hypotension, shoulder discomfort, and decreased exercise tolerance for the past 2 months. On his last clinic visit 3 weeks ago, a chest x-ray (CXR) examination revealed cardiomegaly, and a 12-lead electrocardiogram (ECG) showed sinus tachycardia with left bundle branch block (LBBB). You review J.M.'s morning blood work and initial assessment. Laboratory Results Chemistry Sodium 142 mEq/L Chloride 95 mEq/L Potassium 3.9 mEq/L Creatinine 0.8 mg/dL Glucose 82 mg/dL BUN 19 mg/dL Complete Blood Count WBC 5400/mm3 Hgb 11.5 g/dL Hct 37% Platelets 229,000/mm3 Initial Assessment Complains of increased fatigue and shortness of breath, especially with activity, and "waking up gasping for breath" at night, for the past 2 days. Vital Signs Temperature 97.9 ° F (36.6 ° C) Blood pressure (BP) 142/83 mm Hg Heart rate 105 beats//min Respiratory rate 18 breaths/min As you review these results, which ones are of possible concern, and why?