The nurse would question an order for esomeprazole (Nexium) for the patient who is:
a. taking digoxin.
b. noncompliant.
c. asthmatic.
d. on chemotherapy for cancer.
A
Esomeprazole (Nexium) interferes with the absorption of digoxin, rabeprazole, and iron salts. In addition, the Food and Drug Administration (FDA) has issued a warning that long-term use of the proton pump inhibitors esomeprazole (Nexium) or omeprazole (Prilosec) may increase the risk of heart problems.
You might also like to view...
You are helping care for your 89 year old grandmother who is sick with "the flu". Her temperature is 101.2. What other information would be most useful to better assess your grandmother's condition?
a. what her temperature was yesterday b. how long she has felt sick c. what her usual temperature is d. how much she ate today
At its start, shared governance requires the education and support of organizational executives, managers, and point-of-care staff. The challenge for administrators in creating a shared gover-nance is (select all that apply):
a. implementing the philosophy of accoun-tability. b. relinquishing control of decision-making power. c. creating the structure that supports shared governance. d. developing a culture that supports, encou-rages, and maintains it. e. justifying the cost in terms of personnel time, effort, and financial commitment.
The nurse should complete a detailed cognitive assessment on an elderly client before surgery because (Select all that apply)
a. confusion and psychosis are commonly seen in postoperative elderly clients. b. elders often experience intraoperative strokes. c. neurologic changes resulting from surgery can last longer in an older client. d. temporarily impaired cognition can be mistaken for a neurologic event.
A client receiving corticosteroid therapy should be instructed to avoid crowds and people with infectious diseases because:
a. corticosteroids make clients more prone to hyperstimulation. b. corticosteroids result in a redistribution of fat. c. clients on corticosteroids are more likely to have sodium depletion. d. corticosteroids suppress the immune system of the client.