A nurse should teach a client with type 2 diabetes to monitor for Gastrointestinal (GI) disturbances which is a adverse effect when using metformin as monotherapy.
A nurse should also explain the following:
1. Explain the possible side effects: Inform the client that metformin, as a monotherapy for type 2 diabetes, may cause gastrointestinal disturbances such as nausea, vomiting, diarrhea, abdominal pain, and a metallic taste in the mouth.
2. Encourage self-monitoring: Teach the client to keep track of any occurrences of these symptoms and their severity, as well as any potential triggers or patterns.
3. Provide guidance on symptom management: Advise the client to take metformin with meals to help minimize gastrointestinal side effects, and to contact their healthcare provider if symptoms become severe, persistent, or intolerable.
4. Stress the importance of reporting: Emphasize the importance of reporting any significant side effects to their healthcare provider, as adjustments to their medication or treatment plan may be necessary to ensure their safety and comfort.
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A child has been admitted with bacterial meningitis. Which action by the nurse takes priority?A. Administering broad-spectrum antibioticsB. Assessing and treating pain aggressivelyC. Facilitating blood cultures and lumbar punctureD. Maintaining a quiet, nonstimulating environment
The correct answer is C. Facilitating blood cultures and lumbar puncture. This is the priority action because bacterial meningitis is a medical emergency and prompt diagnosis and treatment is crucial. Blood cultures and lumbar puncture are necessary to confirm the diagnosis and determine the specific bacteria causing the infection
. Administering broad-spectrum antibiotics is also important, but should not be done until after the cultures have been obtained. Assessing and treating pain aggressively and maintaining a quiet, nonstimulating environment are also important aspects of care, but are not the priority in this situation.The priority action for a nurse when a child is admitted with bacterial meningitis is C. Facilitating blood cultures and lumbar puncture. This is because obtaining blood cultures and performing a lumbar puncture are essential for confirming the diagnosis and identifying the specific bacteria causing the infection. Once the results are available, appropriate antibiotics can be administered to effectively treat the bacterial meningitis.
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Compared to adults, the liver and spleen of pediatric patients are more prone to injury and bleeding because they are:
Select one:
A. proportionately larger and situated more anteriorly.
B. more vascular despite the fact that they are proportionately smaller.
C. lower in the abdominal cavity, where the muscles are not as strong.
D. spaced further apart, which causes them to shift following trauma.
The correct answer is A. Compared to adults, the liver and spleen of pediatric patients are more prone to injury and bleeding because they are proportionately larger and situated more anteriorly.
They are more exposed and vulnerable to trauma, making them more prone to injury. Additionally, the liver and spleen are more vascular in pediatric patients despite the fact that they are proportionately smaller. This increases the risk of bleeding if they are injured. It is important to note that the liver and spleen are lower in the abdominal cavity in both pediatric and adult patients, and that they are spaced further apart in adults rather than in pediatric patients. Knowing these anatomical differences is important when managing trauma in pediatric patients, as they require specialized care to prevent and manage injuries to these vital organs.
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Value: 1
When caring for a resident, it is best to avoid the use of restraints whenever possible. If a restraint is ordered and
must be used, which practice is not recommended?
O a. Observe the resident frequently.
O b. Maintain a calm environment.
O c. Approach care with a gentleness, kindness and respect.
O d. Determine effectiveness by testing out a different restraint on the resident.
The weird option that sounds is the statement number 4. Option 4 is the correct answer.
What is the best thing that is done in this situation ?In this situation the best things that is done to keep calm and handle the situation peacefully.
Observe the resident again and again to check the response that is given by the body so that a problem has not occured in the fractions of the time. Maintaining a calm and peaceful environment is very important as the haste makes up the waste.
Approach care with a gentleness, kindness and respect to avoid any kind of panic situations that can happen. Determine effectiveness by testing out a different restraint on the resident sounds wrong because it is not wise to directly experiment without having much of the ideas.
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Many drugs are metabolized and detoxified in the liver. Most drug metabolizing occurs in the central zones of the liver. What condition is caused by these drug-metabolizing actions
Drug-metabolizing actions in the liver can cause a range of conditions, including liver toxicity, liver damage, and drug-drug interactions.
Liver toxicity occurs when the liver is exposed to a drug or toxin, causing the release of enzymes that can damage the liver cells. This can lead to inflammation, scarring, and eventual liver failure.
Liver damage can also occur when drugs are metabolized and detoxified in the liver, leading to cirrhosis, an irreversible scarring of the liver. Drug-drug interactions occur when drugs interact with each other, causing a decrease in the effectiveness of one of the drugs or an increase in the side effects.
Liver damage can also be caused by the accumulation of drugs in the body, which can lead to drug toxicity. All of these conditions can be very serious and even fatal if left untreated, so it is important to be aware of the potential risks when taking any medications.
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a client without a history of respiratory disease has a pulse oximeter in place after surgery. the nurse monitors the pulse oximeter readings to ensure that oxygen saturation remains above which value?
The nurse should monitor the pulse oximeter readings to ensure that oxygen saturation remains above 90%.
Oxygen saturation is a measure of the percentage of hemoglobin in the blood that is carrying oxygen. Pulse oximetry is a non-invasive method of measuring oxygen saturation and is commonly used in clinical settings, particularly in postoperative care. While oxygen saturation levels of 95% to 100% are considered normal, a level of 90% or above is generally acceptable for most patients without a history of respiratory disease.
However, the healthcare provider may set a specific target oxygen saturation level for the patient based on individual factors such as age, medical history, and surgical procedure. Therefore, it is important for the nurse to monitor the pulse oximeter readings and follow the healthcare provider's orders regarding oxygen therapy to maintain adequate oxygenation and prevent complications.
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"Health reform has leveraged Medicaid for a significant part of the expansion. Is this good public policy? Why or why not?"
Answer:
Yes it’s a good policy
Explanation:
Medicaid is an insurance program which has additional healthcare services such as home care. Medicaid is run by private insurance companies to ensure the common man has access to basic health care.
Health reform leveraging on Medicaid for a significant part of the expansion will help to provide more affordable healthcare services to the citizens.
A physician orders Lanoxin elixir qd for an 81-pound child based on 3.4 mcg/ kg/day. Lanoxin (digoxin) Pediatric Elixir is 50 mcg (0.05 mg)/mL. What volume should be administered per dose?
Answer:
Therefore 2.5 ml of Lanoxin (digoxin) Pediatric Elixir is to be administered to the child daily
Explanation:
The child weighs 81 pound. The weight of the child is needed to be converted from pound to kg.
1 kg= 2.2 pound
Therefore 81 pound = 81/2.2 kg = 36.8 kg
Since the child is to be administered bases on 3.4 mcg/ kg/day, the volume of Lanoxin elixir qd to be administered to the 81 pound (36.8 kg) in one day = 36.8 kg × 3.4 mcg/ kg/day = 125.12 ≅ 125 mcg
Lanoxin (digoxin) Pediatric Elixir is 50 mcg (0.05 mg)/mL, therefore 125 mcg = 125 mcg / 50 mcg/ml = 2.5 ml
Therefore 2.5 ml of Lanoxin (digoxin) Pediatric Elixir is to be administered to the child daily
which of the following compounds would be required to be prepared in a biological safety cabinet (BSC)
A. Pantoprazole IV
B. Ranitidine IV
C. Methotrexate IV
D. Insulin IV
Given what we know, of the options listed, Methotrexate IV is the compound that requires the most care when handling and should prompt the use of a biological safety cabinet.
What is Methotrexate IV? This is a medicine used often for cancer treatment. It can be used to treat cancers such as leukemia.Great care must be taken during its handling.This includes the use of a BSC and proper protective equipment.Therefore, given the nature of the Methotrexate IV compound and its risk for those handling the substance, it is the option listed that most appropriately prompts the use of a hazard or biosafety cabinet.
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Which of the following is NOT included in the Patient Bill of Rights?
1) Right to informed consent
2) Right to religious belief
3) Right to leave
4) Right to be seen after several no-show appointments
Answer:
4. Right to be seen after several no-show appointments
Explanation:
Issues that need to be addressed are patient competence, consent, right to refuse treatment, emergency treatment, confidentiality, and continuity of care. Proper awareness of the ethical principles and the ability to apply them to specific circumstances is relevant to all clinical specialties and settings.
The option that is not included in the Patient Bill of Rights is "Right to be seen after several no-show appointments," which is in Option 4. As the Patient Bill of Rights is a set of guidelines developed by the American Hospital Association,
What is the Patient Bill of Rights?The Patient Bill of Rights is a set of guidelines that were developed by the American Hospital Association to ensure that patients receive high-quality medical care and that their rights are respected while receiving care. The Patient Bill of Rights outlines various rights and responsibilities that patients have when receiving medical treatment. One of the rights included in the Patient Bill of Rights is the right to informed consent. This means that patients have the right to receive all relevant information about their medical condition, the right to leave, etc.
Hence, the option that is not included in the Patient Bill of Rights is the right to be seen after several missed appointments, which is Option 4.
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a nurse is reviewing postoperative protocols with the client, including an explanation and a demonstration of how to use an incentive spirometer. how does the nurse know that the teaching on the use of the incentive spirometer was effective?
After surgery, a patient is given a postoperative protocols for an incentive spirometer (is). When using the spirometer appropriately, the client is told by the nurse to anticipate coughing.
A spirometer is a biological device that measures lung capacity and volume. A postoperative protocols spirometer's structural layout is fairly straightforward. A gas storage container is the main part of the device. To understand the essential operating principle of a spirometer, we must first look at its basic design.The water-sealed variant of spirometer is one of the most popular types. Spirometers measure the amount of air entering and leaving the lungs, or breathing. Spirometers are the main equipment used for basic pulmonary function tests (PFTs). The examinations could rule out lung diseases like emphysema, bronchitis, and coughing
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the nurse is assisting with urgent management of a woman experiencing a postpartum hemorrhage who has a history of asthma. which provider order would the nurse question before initiating?
Increase oxytocin to 150 million units/minute.
Oxytocin is the most effective treatment for postpartum hemorrhage and is effective even when used to induce or facilitate labor or as part of active management of the third stage of labor.
Oxytocin Uses -
Oxytocin is a hormone used to initiate or continue labor and to control postpartum bleeding.May also be used to aid milk production during breastfeeding. Oxytocin can also be used for other medical conditions as determined by your doctor.Side-Effects of Oxytocin -
A severe infection in your uterus. Difficult labor because you have a small pelvis, genital herpes,cervical cancer; surgery on your cervix or uterus (including a prior C-section), high blood pressure, or heart problems.To know furthermore about Oxytocin at
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A certain string vibrates with a fundamental frequency of 100 Hz. The string is then shortened and vibrated, without changing its tension. What is true about the speed of the wave during this new vibration
When a string is shortened and vibrated without changing its tension, the fundamental frequency of the string increases.
This means that the wavelength of the wave produced by the string decreases.The speed of a wave is determined by the product of its wavelength and frequency. Since the frequency has increased while the tension and the string material remain the same, the speed of the wave will also increase.
According to the wave equation v = λf, where v is the wave speed, λ is the wavelength, and f is the frequency, if the frequency increases and the wavelength decreases, the wave speed will increase to maintain the relationship.
Therefore, during the new vibration of the shortened string, the speed of the wave will be higher compared to the original vibration with the fundamental frequency of 100 Hz.
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a client diagnosed with ms has been admitted to the medical unit for treatment of an ms exacerbation. included in the admission orders is baclofen. what should the nurse identify as an expected outcome of this treatment?
A purchaser identified with ms has been admitted to the clinical unit for treatment of an ms exacerbation. protected within the admission orders is baclofen Lioresal..
Exacerbation: A worsening. In medication, exacerbation might also talk to an increase in the severity of sickness or its signs and symptoms and signs. for example, an exacerbation of allergies might occur as a critical effect of air pollution, leading to shortness of breath.
Treatment alternatives for exacerbations consist of bronchodilators, corticosteroids, antibiotics, oxygen therapy, and airflow. COPD is the call given to a collection of long-term lung sicknesses. The situation tends to get worse over time and symptoms can encompass: wheezing.
They may be brought on, especially by breathing viruses and microorganisms, which infect the decreased airway and increase airway irritation. a few sufferers are specifically prone to exacerbations and show worse fitness popularity and faster sickness development than those who have rare exacerbations.
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The nurse is to administer 1 g of cefazolin (ancef) in normal saline 50 ml over 45 minutes. At what rate should the nurse set the intravenous infusion pump if it runs in milliliters per hour?
The rate at which the nurse set the intravenous infusion pump if it runs in milliliters per hour is 150 ml/ 0.75 hour that is 150ml per 45 mins.
How is the infusion rate determined?The following equation can be used to determine how many hours the IV will need to finish before it runs out:
Volume (mL) Drip Rate (mL/hour) = Time (hours). The IV pump is set to 62 mL/hour and the fluid volume is 1000 mL.
How come the infusion rate effects?Ordered dose=1 gram in 50 ml
Time taken= 45 min so minutes to hour's = 45 hours = 0.75 hour that is divided by 60
so the infusion rate = total volume/time taken
infusion rate = 150 ml/ o.75
= 200ml/hr is the infusion rate to administer the medication.
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What is the term given to the process used to find the strength of a compound given the quantities of its ingredients
Answer:
An assay is a process of analyzing a substance to determine its composition or quality. The term is often used in the mining industry to refer to tests of ore or minerals. The term assay is also used in the environmental, chemical, and pharmaceutical industries.
Answer:Stoichiometry. I hope this helps you
Explanation:
The term given to the process used to find the strength of a compound given the quantities of its ingredients is called stoichiometry.
Stoichiometry is a branch of chemistry that studies the quantitative relationships between the amounts of reactants used and products formed in a chemical reaction. It is concerned with the calculation of the masses, volumes, and concentrations of the reactants and products involved in a chemical reaction.
Which body structure is distal to the wrist?
which diagnostic or nuclear medicine procedure matches the following definition: the removal of fluid for diagnostic purposes
Fluid removal for diagnostic purposes is known as centesis.
Any centesis procedure involves inserting a hollow needle into a body cavity, joint, organ, or space in order to remove fluid. All centesis studies are invasive procedures that are frequently carried out for either therapeutic or diagnostic reasons. Examples include paracentesis (Greek para, beside), which involves puncturing a body cavity, often with a hollow needle, to remove fluid or gas. Amniocentesis (Greek amnion, caul) is a procedure in which amniotic fluid is sampled to check for abnormalities in the developing foetus. In order to remove extra fluid, an abdominal paracentesis entails surgically puncturing the abdominal cavity with a needle and inserting a catheter line. The fluid will need to be removed through a procedure called thoracentesis for large pleural effusions or those with an unknown cause. In order to do this, a needle must be inserted between the lung and the chest wall, where the liquid will then be drained using thoracentesis.
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The above question is incomplete. Check below the complete question -
which diagnostic or nuclear medicine procedure matches the following definition:
The removal of fluid for diagnostic purposes _______
Shirley is a 75-year-old woman who is seeing her doctor for her annual checkup. She explains that she has been having some shortness of breath. As part of her visit, the doctor recommends that Shirley get an ECG so that they can assess the condition of her heart. Shirley is very anxious about the test and does not feel that it is necessary.
How can the medical assistant assist Shirley?
A 25- year- old female has come to the clinic with the complaints of irritability, diarrhea with a swelling in front of the neck for the past 1 month.
Q1. List FOUR relevant questions you will ask in history in this patient.
Answer:
why my neck is penning, give me a medicine for diarrhea and heck ache
What is sensorineural hearing loss and how can hearing devices help with understanding speech? (Cochlear implants/hearing aids)
Answer:
hearing loss caused by damage to the inner ear or the nerve from the ear to the brain/ hearing aids are primarily useful in improving the hearing and speech comprehension of people who have hearing loss that results from damage to the small sensory cells in the inner ear called hair cells. hoped I helped you and others! :)
Explanation:
you and your partner have just been dispatched to the local children's hospital to pick up the neonatal transport team and the neonatal isolette so that you can transport them to a small community hospital 2 hours away and retrieve a neonate who is in distress. while driving to the children's hospital, which statement from your partner demonstrates he understands how to transport a patient with in an isolette?
I'll take away the wheeled cot once we arrive at the children's hospital so we can load the newborn isolette. Your partner is correct in what they have said.
What is the main justification for the isolette transport of newborns?Isolettes are used in NICUs in hospitals to monitor and regulate the environment for newborns. The same kind of incubator is used by AeroCare on board their aircraft. The medical staff is able to manage the newborn's environment thanks to it.
An isolette is what?An isolette is a transparent plastic encased crib that keeps a newborn infant warm and protects them from pathogens. An isolette can shield a newborn, particularly one who is premature and unable to maintain body heat, from draughts and the cold.
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Hypotension, hypoventilation, and pinpoint pupils would be expected following an overdose of: a. ecstasy. b. oxycodone (Percocet). c. amphetamine sulfate (Benzedrine). d. crack cocaine.
The answer is b. Oxycodone (Percocet). Hypotension, hypoventilation, and pinpoint pupils are characteristic signs of an opioid overdose, such as oxycodone. Ecstasy and amphetamine sulfate can cause hypertension, tachycardia, and dilated pupils. Crack cocaine can cause hypertension, tachycardia, and dilated pupils, as well as hyperthermia and seizures.
Oxycodone is a potent opioid medication that depresses the central nervous system, including the respiratory system. Overdose can lead to respiratory depression, which can result in hypoventilation and decreased oxygenation of the body, leading to hypotension. Pinpoint pupils are a classic sign of opioid overdose and are caused by the drug's effect on the muscles that control the size of the pupils. Immediate medical attention is necessary in the case of suspected opioid overdose.
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How much do circumstances determine success?
Answer:
It is never circumstances that determine success in life; it's what you do with your circumstances that determines success in life.
Why is collaboration an important part of a hospital's emergency planning
process?
Answer:
CUZ YOU DONT WANNA KILL SOMEONE
Explanation:
a low id50 value means _____ . multiple choice question. A. relatively large numbers of microorganisms are required to establish an infection B. relatively large numbers of microorganisms are required to kill an infected organism C. relatively small numbers of microorganisms are required to establish an infection D. relatively small numbers of microorganisms are required to kill an infected organism
The right answer is C. A low ID50 figure indicates that only a few microbes are needed to start an infection.
The term "infectious dose 50" refers to the number of microbes needed to infect 50% of those who are subjected to them. As fewer organisms are required to induce infection, a lower ID50 number denotes a microorganism with higher virulence.
On the other hand, a lower ID50 figure suggests a lower virulence of the microorganism because it requires more organisms to cause an infection. In determining the likelihood of infection and formulating plans for the avoidance and management of infectious illnesses, it is crucial to comprehend ID50 numbers.
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A food worker cooks scrambled eggs
that will be served immediately.
G
What is the minimum internal
temperature that the eggs must reach
during cooking?
O a. 135°F (57°C)
O b. 145°F (63°C)
O c. 155°F (68°C)
O d. 165°F (74°C)
Answer:
the answer is C. 155°F(68°C)
The minimum internal temperature that the eggs must reach during cooking, c. 155°F (68°C). Thus, option "C" is correct.
What is Minimum internal temperature?Minimum internal temperature
• It is the minimum temperature at which the pathogens get eliminated.
• It is essential to attain the right temperature of the food to destroy the harmful pathogens so that it can be consumed safely.
• The minimum internal temperature of 145 degree F is important to achieve for a minimum upto 4 minutes in case of roasting beef, pork, and lamb.
• A minimum internal temperature of 135 degrees F is important for processed and ready to eat foods.
• A minimum temperature of 155 degrees F is applied to ground and injected meat, ground seafood, and eggs, which are served hot.
• A minimum temperature of 165 degrees F is applied to poultry products.
Thus, option "C" is correct.
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1. You work in admitting and a friend wh! works in the ER told you she just saw a
movie star get on the elevator. Your friend said she had heard on TV that the
actress had cancer and asked you to find out what floor the movie star is on and
what her diagnosis is. Should you give your friend this information? Why or why
not?
I will not share this information as it will sharing the personal information which is totally against the rule and regulation of the hospital.
What are the patient's rights?According to the patient's right, no one is legally authorized to go through or read a medical file without the proper consent of a particular patient. You will definitely inform your coworker that she is violating the hospital policies, patient's rights, and HIPAA rule of medical healthcare.
Hospital policies may also deal with the same aspects of the patient's rights. Anyone is not allowed to read or visit any documented medical file or test reports of the patient secretly.
One with a gambling disorder in most cases try to keep it away from others especially people close to them. In the example above, your friend though his action seem like one with a gambling disorder but His insistence to go with you has to a large degree contradicted him being one.
Therefore, I will not share this information as it will sharing the personal information which is totally against the rule and regulation of the hospital.
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Which of the following is NOT a physical sign/symptom of a behavioral crisis: Rationale: Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical-surgical nursing : Assessment and management of clinical problems (11th ed.,). Elsevier, Inc. Sleeping disorders Immunocomprised and increased risk of infecions Gastrointestinal disturbances Reduced fertility
Sleeping disorders Immunocompromised and elevated infection risk are NOT medical indications of a mental crisis.
Who is the medical-surgical nursing father?Together with the Charak Samhita, the Sushruta Samhita is one of the most significant ancient medical treatises and a foundational text of Indian medicine. The father of surgery is Sushruta.
Who published nursing notes?Florence Nightingale initially released her book Notes on Nursing: What it Is and What it Is Not in 1859. It was a 76-page book with a 3-page addendum that Harrison of Pall Mall published with the intention of providing nursing advice to people who were responsible for other people's health.
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I NEED A JOB SHAWDOWING ON A FIREFIGHTER THATS ONE PAGER
Answer:
mark me brilliant
Explanation:
Firefighter Job Shadowing Experience
On my job shadowing experience with a firefighter, I had the opportunity to observe and learn about the daily duties and responsibilities of a firefighter. The firefighter I shadowed was assigned to a local fire department and worked a 24-hour shift.
The day began with the firefighter conducting a thorough inspection of the fire truck, equipment, and personal protective gear. Once everything was checked, the firefighter took part in a group briefing with other firefighters, where they discussed the weather, local hazards, and any other pertinent information for the day.
Throughout the day, the firefighter carried out various tasks, such as responding to emergencies, conducting safety inspections, and participating in training exercises. During an emergency response, the firefighter remained calm and professional while quickly assessing the situation and determining the best course of action.
The firefighter used a variety of equipment, including hoses, axes, and ladders, to fight fires and rescue people in distress. The firefighter also provided assistance to other emergency responders, such as paramedics, when necessary.
During down times, the firefighter engaged in training exercises to ensure they are up to date on the latest firefighting techniques and procedures. They also conducted safety inspections of buildings, homes, and businesses to prevent potential fires.
In conclusion, my job shadowing experience with a firefighter provided me with a unique insight into the life of a firefighter. I learned about the important role they play in protecting the community, the skills and training required to carry out their duties, and the sacrifices they make to keep people safe. Overall, it was an eye-opening and rewarding experience that gave me a newfound appreciation for the work of firefighters.
A patient asks the nurse why dronedarone needs to be taken with food. The nurse responds knowing that bioavailability of dronedarone is at which level without food?.
Answer
the nurse should be a rested
Explanation:
because if the medicine must be taken with out food it have purpose because many medicine are taken by food or without food so if you have to take the medicine with out food take it
go to another doctor or hospital