A patient is prescribed intravenous ertapenem (Invanz). Which question is most important for the nurse to ask before giving the first dose of this drug?

a. "Do you have a hearing problem or any trouble with your ears?"
b. "Do you take medications for seizures?"
c. "Are you allergic to sulfa drugs?"
d. "Have you ever had asthma?"


B
Ertapenem belongs to the carbapenem antibacterial class. Drugs in this class can cause seizures in susceptible people. If a patient has a seizure disorder, the drug should be used with caution. The prescriber is notified of this problem because the dosage of anticonvulsive drug or drugs may need to be adjusted before the ertapenem is administered.

Nursing

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Which are indications for discontinuing growth hormone (GH) therapy in children with documented growth hormone deficiency? (Select all that apply.)

a. Epiphyseal closure has begun. b. A satisfactory adult height has been achieved. c. Serum GH levels have been normal for 12 consecutive months. d. Normal serum growth hormone levels occur. e. The child no longer responds to the hor-mone.

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Four hours after applying an external urinary catheter, the nurse observes no urine output in the drainage bag. Which intervention should the nurse implement first?

a. Check the catheter tubing for an obstruc-tion. b. Ask the patient if he or she feels the urge to void. c. Notify the provider of inadequate urine output. d. Increase the patient's fluid intake over the next hour.

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Which should the nurse monitor to prevent complications of a client receiving total parenteral nutrition (TPN)?

A. Potassium levels B. Blood glucose levels C. Liver enzymes D. Thyroid function

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Endometrial thickening during the proliferative phase is stimulated by increased levels of:

a. estrogen. b. progesterone. c. FSH. d. inhibin.

Nursing