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Author Question: Which blood laboratory test result is most important for the nurse to check before administering the ... (Read 108 times)

fahad

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on: Jul 23, 2018
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

Question 2

A patient newly diagnosed with type 2 diabetes who is prescribed rosiglitazone (Avandia) has all the following health problems. For which problem does the nurse check with the prescriber to make certain rosiglitazone is an appropriate drug choice?
 
  a. Severe asthma for the last 3 years
  b. Myocardial infarction 1 year ago
  c. Uncontrolled hypertension
  d. Glaucoma


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CAPTAINAMERICA

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Reply #1 on: Jul 23, 2018
Answer to Question 1

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.

Answer to Question 2

B
Rosiglitazone carries a black box warning because it can cause heart failure in some patients. Patients most at risk are those who have had a previous myocardial infarction. Although heart failure can worsen asthma, it is not worsened by rosiglitazone, nor does the drug cause hypertension or glaucoma.


fahad

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Reply #2 on: Jul 23, 2018
TY


CAPTAINAMERICA

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Reply #3 on: Jul 23, 2018
You're welcome


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