When you go to remove the medications from the automated dispensing machine, you see that carvedilol (Coreg CR) is stocked

Will you give it to J.M.? Explain.


No! Coreg CR is a controlled-release formulation, which is released slowly, and the dosages are
different. The "plain" Coreg is an immediate-release formulation. The two are not interchangeable.

Nursing

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The nurse is caring for a 39-year-old client who is 4 hours postoperative from general anesthesia. The client's spouse asks why it is important for the client to cough and deep-breathe. The most appropriate response from the nurse would be:

1. It is important in order to prevent a pulmonary embolism. 2. It is important in order to reduce the incidence of postoperative depression. 3. It is important in order to reduce the chance of aspiration pneumonia. 4. It is important in order to reduce the incidence of mucous plugs.

Nursing

When asked to define the purpose of diagnostic reasoning, the best nursing response is:

1. "Diagnostic reasoning is the foundation of the second step of the nursing process; Nursing Diagnosis." 2. "The diagnostic reasoning process flows from the assessment process and includes decision-making steps." 3. "Diagnostic reasoning includes data clustering, identifying client needs and for-mulating the diagnosis or problem." 4. "Diagnostic reasoning involves using the assessment collected on a specific client to logically arrive at an appropriate nursing diagnosis."

Nursing

The nurse is preparing to administer medications, including verapamil (Verelan), a calcium channel blocker, and metoprolol (Lopressor), a beta1-adrenergic blocker, to a client with hypertension

An entry in the client's medical record indicates he has developed AV block. Which action by the nurse is the most appropriate? 1. Administer both metoprolol (Lopressor) and verapamil (Verelan). 2. Hold both metoprolol (Lopressor) and verapamil (Verelan), and notify the prescriber. 3. Hold metoprolol (Lopressor), administer verapamil (Verelan), and notify the prescriber. 4. Hold verapamil (Verelan), administer metoprolol (Lopressor), and notify the prescriber.

Nursing

You are part of the team choosing the regimen for AR, a 65 year-old male who requires chemotherapy for acute myelogenous leukemia. Assume these are all equally efficacious regimens. Choose the BEST regimen for AR applying the general principles of cancer chemotherapy:

A. Cisplatin, cyclophosphamide, busulfan B. Bleomycin, taxol, cisplatin C. Vincristine, taxol, 5-FU D. Methotrexate, 5-FU, ara-C

Nursing