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NEW QUESTION: 1
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 4mg iv q6h prn for N/V, Levothyroxine 0.075mg po daily, Lisinopril 10mg po daily, Citalopram
20mg po daily, Docusate sodium / Senna 1 tab po twice a day, Bisacodyl 10mg suppository daily prn for constipation, Famotidine 20mg iv q12hr, Metoclopramide 10mg iv q6h, Metformin 500mg po bid, D51/2NS with 20K at 125mls/hour and Hydromorphone PCA at 0.2mg/hour of basal rate, demand dose 0.1mg. lock-out every 6min, one hour limit 2.2mg/hour. Pertinent morning labs includes serum creatinine 1.4mg/dl, Mg 1.5mg/ dl, K 5.0mmol/L, Na 135mmol/L.
What is the reason for holding metformin in patients with reduced renal function?
A. Metformin can cause lactic acidosis
B. Metformin can cause hyperglycemia
C. Metformin can cause hyperkalemia
D. Metformin can build up neurotoxin
E. Metformin can cause acute renal failure
Answer: A
Explanation:
Explanation
Metformin is held in patients with reduced renal function due to an increased risk of lactic acidosis. Metformin has a Boxed Warning for lactic acidosis, which is a rare but serious metabolic complication. Lactic acidosis can occurs due to an accumulation of metformin (5 mcg/mL or more). It is fatal in about 50% of cases. Lactic acidosis has also been reported to occur in those with diabetes who have significant renal function impairment.
Lactic acidosis occurs when there are elevated blood lactate levels of 5 mmol/L or more, decreased blood pH, electrolyte disturbances with an increased anion gap, and an increased lactate/pyruvate ratio. Normal lactic acid level <2.0 mmol/L.

NEW QUESTION: 2
In the accrual process for period-end accruals, which two events generate accounting entries that can be transferred to General Ledger? (Choose two.)
A. processing a receipt
B. running the period-end accrual program
C. entering invoices and matching them in Payables
D. entering a purchase order
Answer: B,C

NEW QUESTION: 3
Scenario: A Citrix Architect needs to design a new XenApp and XenDesktop environment.
The architect has identified the User Layer requirements, as shown in the Exhibit.
Click the Exhibit button to view the requirements.

Additionally, management at the organization has identified the following general Access Layer requirements:
* A multi-factor authentication method is required for any connections to the XenApp and XenDesktop environment originating from outside the corporate network.
* External connections must be authenticated by a Citrix Gateway virtual server located in a DMZ network.
* Internal connection traffic should NOT leave the internal corporate network.
Which Access Layer feature should the architect configure to meet the security requirements of the Contractors group?
A. SmartControl
B. Citrix ADC Double Hop
C. Citrix Gateway
D. Endpoint analysis scan
E. SmartAccess
Answer: D

NEW QUESTION: 4
Examine the following routing table and BGP configuration; then answer the question below.

TheBGP connection is up, but the local peer is NOT advertising the prefix 192.168.1.0/24. Which configuration change will make the local peer advertise this prefix?
A. Enable the redistribution of static routers into BGP.
B. Disable the setting network-import-check.
C. Enable the redistribution of connected routers into BGP.
D. Enable the setting ebgp-multipath.
Answer: B