The nurse is interviewing a new patient with diabetes who receives rosiglitazone (Avandia) through a restricted access medication program. What is most important for the nurse to report immediately to the health care provider?

a. The patient's blood pressure is 154/92.
b. The patient has a history of emphysema.
c. The patient's blood glucose is 86 mg/dL.
d. The patient has chest pressure when walking.


ANS: D
Rosiglitazone can cause myocardial ischemia. The nurse should immediately notify the health care provider and expect orders to discontinue the medication. There is no urgent need to discuss the other data with the health care provider.

Nursing

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A nursing student is preparing to give a pregnant woman heparin for a deep vein thrombosis (DVT). The student questions the dose, as it is higher than what the student has given to other patients. What response by the perinatal nurse is most appropriate?

A. Have the student hold the dose and double-check the order with the provider. B. Inform the student that physiological changes in pregnancy require higher doses. C. Remind the student that large doses are needed to dissolve the existing clot. D. Tells the student to administer the dose and check results of the next laboratory draw.

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The nurse is instructing a patient how to mix NPH insulin with regular insulin in one syringe. The nurse tells the patient the mixture must be administered within how long after it is prepared?

A) 5 minutes B) 10 minutes C) 15 minutes D) 20 minutes

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A nurse discusses recent changes with a 74-year-old client. The client is distraught stating, "I forgot an important appointment; and I lost my wallet!" The older adult has always cherished being intelligent, alert, and informed,

so even minor lapses in cognition are a source of stress. How should the nurse best interpret these recent deficits in memory? A) The older adult is likely experiencing the early stages of Alzheimer disease. B) The older adult is likely experiencing a temporary state of delirium that will self-resolve. C) The older adult may be experiencing age-related changes in personality. D) The older adult may be experiencing mild cognitive impairment.

Nursing

One of the ways to prolong the effects of a rapidly metabolized skeletal muscle relaxant is to administer the medication:

A. by intravenous infusion. B. intradermally. C. through an intravenous injection. D. through an intramuscular injection.

Nursing