Tutor profile: Amber R.
Subject: Health and Medicine
A patient is admitted to your unit with hyperglycemia. Her blood glucose was 600 mg/dL. What other lab values in her basic metabolic panel do you anticipate to be abnormal?
Sodium. Serum hyperglycemia can cause dilutional hyponatremia. This hyponatremia usually self-corrects with hyperglycemia treatment and does not require additional intervention.
The nurse is about to administer morning medications to Mr. Smith. Mr. Smith was admitted last night with a heart failure exacerbation. He was placed on a continuous furosemide infusion and his creatine at baseline is 1.3 but is now 2.0. Which medications should the nurse hold until she can discuss them with the physician? (Select all that apply)
A: 20mg Lisinopril PO daily B: 40mg Lovenox (subcutaneous) daily C: Furosemide infusion (continuous IV) D: 650mg Acetaminophen PO q6h E: 25mg Metoprolol XL PO daily (Answer: A, B, and C because these medications are renally processed and could cause further insult to the renal system. Answer D is processed hepatically and unless liver function tests are elevated, the acetaminophen is safe to give in this scenario. Answer E is also safe to give unless the furosemide infusion has made the patient hypotensive, in which case the beta-blocker should be held per hold parameter instructions).
Subject: Study Skills
In order to study efficiently, the student must understand their personal learning style. The VARK theory is one model of assessing learning styles. What do the letters in VARK represent?
V: Visual (you learn through watching) A: Auditory (you learn through hearing) R: Reading/Writing (you learn through reading and writing) K: Kinesthetic (you learn through a hands-on experience)
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