A patient with diabetes and heart disease is diagnosed with chronic kidney disease. Which medication order should the nurse question for this patient?
1. oral antihyperglycemic agent
2. beta-blocker
3. calcium channel blocker
4. analgesic
Correct Answer: 1
Drugs such as metformin (Glucophage), and other oral antihyperglycemic agents eliminated by the kidney are to be avoided. Beta-blockers, calcium channel blockers, and analgesics may be used with dosage adjustment.
You might also like to view...
According to Eric Erikson's eight stages of life theory, the task of old age is
a. Industry vs. Inferiority b. Identity vs. Role Confusion c. Ego integrity vs. Despair d. Generativist vs. Stagnation
Patients with a spontaneous pneumothorax should be counseled that up to what percentage may experience a reoccurrence at some point?
a. 10% c. 30% b. 20% d. 50%
The graduate nurse is researching the state's nursing practice act, which varies from state to state. Which of the following accurately describes a state ruling?
A) In all states, new graduate nurses must work as assistants until they obtain a license. B) Most states allow an unlimited number of attempts to pass the examination. C) Some states issue new nursing graduates a permit to practice before licensure. D) New nurses are always paid less until they have passed the licensure examination.
The nurse has just completed insertion of a nasal trumpet to assist in protecting a responsive client's airway and should place the client in which position to maintain the airway?
A. Supine with the head to the side B. Side-lying with chin positioned closest to the chest C. Prone with head to the side D. Side-lying with head slightly tilted up and centered on the pillow