The nurse is performing a medication history on a patient who reports long-term use of montelukast (Singulair) and an albuterol metered-dose inhaler (Proventil). The nurse will contact the provider to discuss an order for which laboratory tests?

a. Cardiac enzymes and serum calcium
b. Electrolytes and a complete blood count
c. Liver function tests and serum glucose
d. Urinalysis and serum magnesium


ANS: C
The beta2 agonists can increase serum glucose levels and montelukast can elevate liver enzymes, so these should be monitored in patients taking these medications.

Nursing

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A nurse new to psychiatry asks her colleague why the newer antipsychotic medications do not cause as many EPSEs as do the conventional antipsychotic medications. Which response, if made by the nurse, is correct?

1. The newer antipsychotics also have a muscle relaxing effect that masks the EPSEs. 2. The newer antipsychotics do not impact dopamine. 3. The newer antipsychotics only act in the lower extrapyramidal dopamine pathways. 4. The newer antipsychotics have less affinity for dopamine receptors and also bind to serotonin receptors.

Nursing

The nurse providing stimulation to a preterm infant should schedule stimulation not to conflict with __________

ANS:

Nursing

A psychiatric–mental health nurse is providing care to patients with a mental illness and is investigating factors related to the patient safety, delivery of care services, and cost effectiveness

The nurse is involved with which area of professional performance? A) Education B) Quality of practice C) Resource utilization D) Collaboration

Nursing

Assessment of the client's skin reveals a fluid-filled circumscribed elevation of 0.4 cm. The nurse identifies this as a:

1. Nodule 2. Macule 3. Vesicle 4. Wheal

Nursing