The client is ordered cimetidine (Tagamet) H2-receptor antagonist agent for the short-term management of gastroesophageal reflux disease (GERD). Which of the following assessment findings is most important in determining care of this client?
A) Elevation of liver enzymes
B) Smoking with use
C) Uses antacids 2 hours after dose
D) Impotence
A
Feedback:
Cimetidine has a higher risk of drug interactions than other H2-receptor antagonists. Cimetidine binds hepatic enzymes and can interfere with metabolism of other drugs resulting in elevated liver enzymes and liver damage. Smoking should be avoided—it increases gastric secretions and decreases effectiveness of cimetidine. Antacids can be used if taken 1 hour prior to or 2 hours following doing with cimetidine. Impotence and gynecomastia are adverse effects of this drug.
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A critically ill patient has developed shock. What nursing assessment result indicates a normal compensatory mechanism?
A) Reduction of respiratory depth B) Increase in systemic vascular resistance (SVR) C) Decrease in circulating catecholamines D) Increased stimulation of baroreceptors
Why does the nurse manager prefer email when communicating with multiple recipients?
1. The letter can be copied and pasted multiple times to send to each recipient. 2. The letter can be sent to multiple recipients at one time with no extra effort. 3. Emails are more private than letters sent through the mail system. 4. The email can be secretly sent to friends.
A patient scheduled for outpatient surgery asks the nurse why he will not be admitted to the hospital for the surgery. What should the nurse explain as an advantage of having outpatient surgery?
1. reduced risk of healthcare-associated infections 2. ability to use home care for postoperative care in the home 3. reduced use of postoperative medications 4. inadequate staffing on the surgical care areas
Which of the following is tasked with carrying out the "risk reduction mission" of DHS?