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Elderly individuals often have their dose split in two and are administered one dose in the morning and one dose at night; In addition, sometimes insulin lispro is given in a sliding scale with a snack in the evening. Do not give that one at bedtime. What symptoms could be concealed by taking a beta blocker while on insulin? You will need to know the following chart: Onset: When the medicine starts to work when the blood sugar is going to start to go down.
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Peak: Usually when the medicine is at its highest level, and you get the highest effect in this case it equates to the times when you see the lowest blood sugars. Duration: How long the medication is going to last in effectiveness how long is it going to affect blood sugars. Most do not work for type 1 diabetes, do not risk it with babies we use regular insulin for gestational diabetes. Glipizide Glucotrol : o How does it work? Glipizide lowers blood sugar by causing the pancreas to produce insulin a natural substance that is needed to break down sugar in the body and helping the body use insulin efficiently. Headache, weight gain, o What are contraindications? Metformin: o How does it work? It also makes your body respond better to insulin.
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Certification is the formal attestation or confirmation of certain characteristics of an object, person, or organization. This confirmation is often, but not always, provided by some form of external review, education, assessment, or audit. Answer: No, professional nursing organizations write the code of ethics for nurses The nurse manager is conducting a performance review with a nurse who has worked on the unit for 10 years.
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Pharmacology Exam 1 Rasmussen
Demonstrate professional competence and values reflective of professional nursing standards and mutual respect within a global society. Communication Collaborate with the healthcare team and clients to provide safe and cost effective high quality health care. We gathered advice from Rasmussen College Nursing faculty and staff to help you plan out your potential next steps.
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Potassium chloride 10 mEq intravenously has been ordered for a client whose potassium is 2. How will the nurse administer the potassium dose? A client who has been taking Lisinopril an ace inhibitor for 2 weeks complains of a dry cough. How should the nurse respond to this complaint? A The cough will subside within 5 to 7 days when the body becomes accustomed to the medicine. B The cough is a sign of impending angioedema. The client should stop the medicine immediately. C The cough is a result of immune suppression. The client should stop the medicine immediately D The cough is a common side effect of prils. Sartans may be prescribed instead if it becomes intolerable 3. A client is experiencing edema. Which over-the-counter medication might be reducing the diuretic effects of her lisinopril?
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What type of antihypertensive is contraindicated when people are taking ACE inhibitors due to risk of compound effects? In preparing discharge education for a client who has just begun hydrochlorothiazide therapy, a nurse reviews the client's lab results. Which finding should the nurse be concerned about in relationship to the discharge prescription? A client has had hypertension for approximately 7 years and now is interested in becoming pregnant. What is the safest anti-hypertensive for a woman in the early stages of pregnancy? If a client is taking carvedilol, a beta blocker, which adverse effect should the nurse watch for? While preparing to administer a scheduled dose of digoxin, the nurse finds a new lab result showing a digoxin level of 0. What action should the nurse take? A Hold the drug for an hour and reassess the level. B Withhold the drug and notify the prescriber immediately. C Administer Digibind to counteract the toxicity.
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A client has been taking digoxin 0. A Consult the provider then request a digoxin and potassium level check B Withhold the next dose of furosemide. C Continue to monitor the patient for heart failure. D Document the findings and reassess in 1 hour. A client with angina is preparing to go home with a prescription for Nifedipine, a calcium channel blocker. What should the client be taught? A Elevate your feet when you are sitting to avoid edema side effects B Drink grapefruit juice with breakfast to reduce your risk of plaque. C Eat cheese regularly to restore calcium and manage loose stools. D Use salt substitute to replenish your potassium losses due to diuretic effects A client with stable angina asks why the physician told her to put her nitro patch on at 8am and take it off at 8pm. What explanation should he be given?
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A The doctor is trying to reduce your risk of night falls. B Patch-free intervals are needed to sustain medication effectiveness. C The patch should be replaced, not removed at bedtime D You should follow this advice for any patch medications you use. A client with stable angina as starting treatment with nifedipine a calcium channel blocker. How should the nurse respond? The nurse is providing patient education to a patient who has just been given a new prescription for sublingual nitroglycerin tablets. Which statement by the client would indicate a need for additional teaching? A client presents to the emergency department with chest pain. On a scale of he rates the pain as a 6. His respiratory rate is His heart rate is He is afebrile.
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What other information should the nurse obtain before administering nitroglycerin? A Has the patient experienced any dizziness or nausea within the last two weeks? B Has the patient used any alcohol or drugs for erectile dysfunction recently? C Has the patient taken any drugs within the past 12 hours? D Has the patient had a previous heart attack? A client is being discharged to his home on enoxaparin Lovenox injections for treatment of deep vein thrombosis DVT. Which of the following statements made by the client indicates a need for further discharge teaching by the nurse?
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Friday, April 23, 2021
Rasmussen Pharmacology Exam 1
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