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  • ROSENTHAL: LEHNE\\\'S PHARMACOTHERAPEUTICS FOR ADVA
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Rosenthal: Lehne's Pharmacotherapeutics For Advanced Practice Nurses And Physician Assistants

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Institution ROSENTHAL: LEHNE\\\'S PHARMACOTHERAPEUTICS FOR ADVA
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ROSENTHAL: LEHNE'S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND PHYSICIAN ASSISTANTS The nurse working on a high-acuity medical-surgical unit is prioritizing care for four patients who were just admitted. Which patient should the nurse assess first? a. The NPO patient with a blood glucose level of 80 mg/dL who just received 20 units of 70/30 Novolin insulin. b. The patient with a pulse of 58 beats/minute who is about to receive digoxin [Lanoxin]. c. The patient with a blood pressure of 136/92 mmHg who complains of having a headache. d. The patient with an allergy to penicillin who is receiving an infusion of vancomycin [Vancocin]. - CORRECT ANSWER -ANS: A The NPO patient with hypoglycemia who just received 70/30 Novolin insulin takes priority, because this patient needs to consume a good source of glucose immediately, or perhaps the NPO status will be discontinued for this shift. The digoxin may be withheld for the patient with a pulse of 58 beats/minute, but this is not a priority action. The patient with a headache needs to be followed up, but because the blood pressure is 136/92 mmHg, the headache is probably not caused by hypertension. The patient with an allergy to penicillin will not have a reaction to the vancomycin. A patient with type 1 diabetes recently became pregnant. The nurse plans a blood glucose testing schedule for her. What is the recommended monitoring schedule? a. Before each meal and before bed. b. In the morning for a fasting level and at 4:00 PM for the peak level. c. Six or seven times a day. d. Three times a day, along with urine glucose testing. - CORRECT ANSWER -ANS: C A pregnant patient with type 1 diabetes must have frequent blood sugar monitoring (e.g., six or seven times a day) to manage both the patient and the fetus so that no teratogenic effects occur. Monitoring the blood sugar level before meals and at bedtime is not significant enough to provide the necessary glycemic control. Morning and 4:00 PM monitoring is not enough to provide glycemic control. Urine glucose testing is not sensitive enough to aid glycemic control, and monitoring three t imes a day is not enough. Which statement is correct about the contrast between acarbose and migl

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Jacqueline Rosenjack Burchum, Laura D. Rosenthal Study Guide for Lehne\'s Pharmacology for Nursing Care - E-Book
Publisher: 2023 ISBN: 9780443106484 Edition: Unknown

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