The iPLEDGE system, which is associated with the prescribing practices for isotretinoin, has what effect?
a. Patients must exhaust other acne treatments before they can obtain a prescription.
b. The criteria apply only to patients and physicians.
c. Prescriptions are tracked through a central automated system.
d. The medication may be prescribed only by dermatologists.
c
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A client has a physician's order for NPO (nothing by mouth) following abdominal surgery to repair a bowel obstruction. The client has a nasogastric tube inserted to low intermittent suction. The client requires intravenous therapy to
A) Replace fluid and electrolytes B) Administer blood products C) Provide protein supplements D) Treat the client's infection
The school nurse is performing health assessments on students in middle school. Of what developmental milestone should the nurse be aware?
A) Height in girls increases rapidly after menarche and usually ceases immediately after menarche. B) Boys' growth spurts usually begin between the ages of 8 and 14 years and end between the ages of 131/2 and 171/2 years. C) Peak height velocity (PHV) occurs at approximately 12 years of age in girls or about 6 to 12 months after menarche. D) Boys reach PHV and peak weight velocity (PWV) at about 16 years of age.
A 30-year-old female presents to her primary care provider with fever, cardiac murmur, and pe-techial skin lesions and is diagnosed with infective endocarditis. The most likely cause of the disease is:
a. bacteria. b. viruses. c. fungi. d. parasites.
L.B. is not in any acute distress. Vital signs (VS) are 110/60, 55, 18
She has no sinus tenderness, ear examination findings are negative, nasal mucosa is pale and boggy, mouth examination findings are negative, there is no cervical adenopathy, and lungs are clear to auscultation. Forced expiration using the peak flow meter (PFM) generates a cough. Her peak flow is 350 L/min with good effort. Expected peak flow for her height and age is 512 L/min, giving a response of 68% of predicted. The provider orders predilator and postdilator pulmonary function tests (PFTs). What is the purpose of completing predilator and postdilator PFTs? After the PFT, L.B. is diagnosed with mild persistent asthma. She returns to the clinic so that a plan for managing her asthma can be established. What priority topics need addressed? How will you describe mild persistent asthma to L.B.? The provider orders triamcinolone (Azmacort) two puffs bid and albuterol (Ventolin) two puffs every 6 hours as needed. What points will you include when teaching L.B. about these medications? L.B. asks, "Why do I have to use this inhaler? Can't I just take some pills?" Your response to L.B. is based on the knowledge that the inhalation route is: a. Safer and more effective than pills b. Less expensive than combination therapy c. Easier to master than oral therapy d. More likely to assist in curing her asthma The provider gives L.B. a prescription for a peak flow meter (PFM). What is a PFM? Give L.B. precise instructions to perform the PFM maneuver. L.B. asks why she has to use the PFM. Explain the purpose of the peak expiratory flow rate (PEFR) measurement, what an asthma action plan is, and the role the PEFR plays in an asthma action plan. You set up an asthma action plan for L.B. What will you teach L.B. to do if her PEFR value falls into the yellow or red zone?