Which blood laboratory test result is most important for the nurse to check before administering the first prescribed dose of miglitol (Glyset) to a patient?
a. International normalized ratio (INR)
b. Blood urea nitrogen (BUN) level
c. White blood cell (WBC) count
d. Lactate dehydrogenase
D
Miglitol is an alpha glucosidase inhibitor. Drugs from this class can cause liver impairment. They should not be prescribed for anyone who already had a change in liver function. A common test of liver function is blood levels of lactate dehydrogenase. Normal lactate dehydrogenase levels range between 115 and 225 international units per liter.
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A nurse was excited about being the only staff member in the public health department in a small rural area. Which of the following problems would the nurse most likely encounter? (Select all that apply.)
a. There is no one with whom to collaborate or exchange ideas. b. There will be no physician available to tell the nurse what needs to be done. c. No feedback can be obtained from others. d. The nurse may only be able to offer services supported by federal funds. e. The nurse will have to raise local funds to support the department. f. There will not be any epidemiologists or sanitarians to help.
When administering parenteral medications, the nurse considers the viscosity of the fluid when determining which item?
1. The length of the needle required 2. The size of the syringe required 3. The size of the bevel required 4. The gauge of the needle required
The number of uninsured Americans has dramatically increased because:
a. Medicare took over payment of health care costs. b. with a declining population, the costs for health care rose. c. nursing salaries greatly increased, causing health care costs to rise. d. health insurance coverage was dropped from employment-based health plans.
A nurse provides teaching about coping with long-term impaired functions. Which situation serves as the best example?
a. Teaching a family member to give medications through the patient's permanent gastric tube b. Teaching a woman who recently had a hysterectomy about her pathology reports c. Teaching expectant parents about physical and psychological changes in childbearing women d. Teaching a teenager with a broken leg how to use crutches