Which finding indicates a need to contact the health care provider before the nurse administers metformin (Glucophage)?
a. The patient's blood glucose level is 174 mg/dL.
b. The patient has gained 2 lb (0.9 kg) since yesterday.
c. The patient is scheduled for a chest x-ray in an hour.
d. The patient's blood urea nitrogen (BUN) level is 52 mg/dL.
ANS: D
The BUN indicates possible renal failure, and metformin should not be used in patients with renal failure. The other findings are not contraindications to the use of metformin.
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The nurse is assessing a new client who is being evaluated for coronary heart disease. After reviewing his dietary habits, the nurse notes which of the following as a possible contributing factor to this client's condition?
A) Monounsaturated fatty acids C) Trans fatty acids B) Saturated fatty acids D) Polyunsaturated fatty acids
An advanced practice nurse recommends that a client participate in cognitive therapy. The client asks, "What's cognitive therapy and how can it help me?" Which is the nurse's most appropriate reply?
A. "It is a system of techniques in which you use positive thinking to improve your mood." B. "It is a long-term interpersonal approach that emphasizes the role of early childhood experiences." C. "It is an interpersonal treatment approach that specifically targets magical thinking." D. "It is a type of psychotherapy that focuses treatment on the modification of distorted thinking and maladaptive behaviors."
Which of the following statements best describes the most essential difference between home health care and acute client care?
a. Acute client care is individualized for the client and family. b. Home health care is provided in the client's environment. c. Reimbursement for home health care varies from that of care provided in institutions. d. The focus of acute client care is on community health.
There are both critics and supporters of the purposed DNP curriculum. Which statement best describes a concern of the critics?
A) Nurse leaders need to understand more than just nursing theories. B) All theory classes should be taught separately from practicum classes. C) Nurses are not required to take foundational theory classes at the BSN or master's degree level. D) Nurses are not grasping the theories well enough to implement the concepts.