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NEW QUESTION: 1
A. Option B
B. Option A
C. Option C
D. Option D
Answer: A,B
NEW QUESTION: 2
Pat is documenting the way data will be transformed from an existing system in order to become more compatible with the new system. What type of requirement is he documenting?
A. Quality Requirement
B. Business Requirement
C. Both of the above
D. None of the above
Answer: B
NEW QUESTION: 3
LN is 84 YOM who is in hospital for a back surgery. His height is 5 feet and 4 inches, weight 85 kg and NKDA.
His past medical history includes hypertension, diabetes mellitus, major depression, hypothyroidism and chronic back pain. Post-op day 1, LN's medication includes Dexamethasone 8mg iv q6h with taper dosing, Ondansetron 4 mg iv q6h prn for N/V, Levothyroxine 0.075 mg po daily, Lisinopril 10 mg po daily, Citalopram 20 mg po daily, Docusate sodium / Senna 1 tab po twice a day, Bisacodyl 10 mg suppository daily prn for constipation, Famotidine 20 mg iv q12hr, Metoclopramide 10mg iv q6h, Metformin 500 mg po bid, D51/2NS with 20K at 125 mls/hour and Hydromorphone PCA at 0.2mg/hour of basal rate, demand dose 0.1 mg. lock-out every 6min, one hour limit 2.2 mg/hour. Pertinent morning labs includes serum creatinine 1.4 mg/dl, Mg 1.5 mg/dl, K 5.0 mmol/L, Na 135 mmol/L.
Which of the following medication/s should LN be on to prevent the most common side effect of hydromorphone?
A. Ondansetron for N/V
B. Dexamethasone for N/V
C. Docusate sodium / Senna for Constipation and ondansetron for N/V
D. Docusate sodium / Senna for Constipation
E. Insulin Sliding scale for hyperglycemia
Answer: C
Explanation:
Explanation
LN should be on docusate sodium/Senna for constipation and ondansetron for N/V. Dexamethasone has an off label use for N/V that is chemotherapy-associated. It is mostly used as an anti-inflammatory or immunosuppressant agent. Hydromorphone does not cause hyperglycemia. The most common side effects of opioids are nausea, vomiting and constipation.
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