A pregnant woman is receiving Dilantin for seizures. What action is most important to reduce the risk of fetal anomalies?
a. All anticonvulsants are linked to fetal anomalies and should be discontinued.
b. Folic acid supplement is needed to reduce the risk of neural tube defects.
c. Since anomalies are likely, abortion is rec-ommended.
d. Dilantin is not associated with any malformations and should be continued.
C
In order to reduce the risk of fetal anomalies, a pregnant woman requiring Dilantin should consider having her pregnancy terminated. Dilantin is one of the many possible drugs in which
pregnant women may be exposed to teratogens.
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The collection of data to measure performance is required by:
a. the Health Insurance Portability and Ac-countability Act. b. the Centers for Medicare & Medicaid Services. c. The Joint Commission (TJC). d. Health Information Technology.
A patient is 5 feet 4 inches tall and weighs 85 lb, a 20% loss of body weight over the past year
The patient reports amenorrhea for 9 months. Vital signs are temperature (T) 96.6°F; pulse (P) 38 beats/min; blood pressure (BP) 70/42 mm Hg; respirations (R) 20 breaths/min. Skin turgor is poor. Lanugo is present. She says, "I need to lose 10 more pounds." These assessment findings indicate which medical diagnosis? a. Bulimia nervosa b. Anorexia nervosa c. Binge-eating disorder d. Dissociative identity disorder
Which of the following statements accurately describes a consideration when using a manual external defibrillator?
A) Guards are in place to prevent accidental electric shock to those providing care. B) Operating instructions for the use of defibrillators are standard from facility to facility. C) Defibrillators can be set to take into consideration external factors, such as duration of the arrhythmia, chest resistance, and number of countershocks. D) Defibrillator operation should be checked at least every 8 hours, and after each use.
The nurse is instructing a group of students about the ability to increase the strength of a cardiac contraction. Which medical term is appropriate for the nurse to use when referring to this topic?
1. Positive inotropic effect 2. Negative chronotropiceffect 3. Preload 4. Afterload