Which information about a 60-year-old patient with MS indicates that the nurse should consult with the health care provider before giving the prescribed dose of dalfampridine (Ampyra)?
a. The patient has relapsing-remitting MS.
b. The patient walks a mile a day for exercise.
c. The patient complains of pain with neck flexion.
d. The patient has an increased serum creatinine level.
ANS: D
Dalfampridine should not be given to patients with impaired renal function. The other information will not impact whether the dalfampridine should be administered.
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The nurse is providing care to a client with diabetes who is receiving sulfonamides. The nurse counsels the client about the increased risk of hypoglycemia, especially if the client is taking which of the following medications? Select all that apply
A) Tolbutamide (Orinase) B) Lisinopril (Prinivil) C) Simvastatin (Zocor) D) Losartan (Cozaar) E) Chlorpropamide (Diabinese)
Patients who are in shock have special needs, including nutritional needs. What physiological phenomenon underlies these unique nutritional needs?
A) The necessity of albumin as a food source because of the need for increased caloric intake B) The loss of fluids and decreased levels of stomach acids due to increased parasympathetic activity C) The release of catecholamines that creates an increase in metabolic rate and caloric requirements D) The increase in gastrointestinal function during shock and the resulting diarrhea
Which analgesic would be subject to the ceiling effect?
a. NSAID c. codeine b. morphine d. hydromorphone hy-drochloride (Dilau-did)
Prior to administering a newly prescribed order for metoprolol (Toprol), the nurse reviews the client's medications and decides to question the order for which reason?
Standard Text: Select all that apply. 1. The client is also prescribed a calcium channel blocker. 2. The client is already taking an antihypertensive medication. 3. The client is using cimetidine. 4. The client is taking oral contraceptives. 5. The client is taking aspirin.