A patient takes antacids, cimetidine (Tagamet), and phenytoin (Dilantin). The health care provider prescribes a benzodiazepine for anxiety. Which drug interactions would the nurse anticipate? Select all that apply
a. Increased plasma level of benzodiazepine related to cimetidine therapy
b. Increased absorption of the benzodiazepine if taken with the antacid
c. Euphoria and disinhibition associated with phenytoin therapy
d. Serotonin syndrome associated with cimetidine use
e. Potential phenytoin toxicity
A, E
Cimetidine increases the plasma level of benzodiazepines. The benzodiazepine interferes with phenytoin metabolism, thus increasing serum levels of the anticonvulsants. The distracters do not reflect actual interactions.
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A patient who had surgery for gallbladder disease has just returned to the postsurgical unit from postanesthetic recovery. The nurse caring for this patient knows to immediately report what assessment finding to the physician?
A) Decreased breath sounds B) Drainage of bile-colored fluid onto the abdominal dressing C) Rigidity of the abdomen D) Acute pain with movement
A patient receiving thioridazine (Mellaril) for the last 3 weeks is noted to have a mask-like ex-pression and to walk with a shuffling gait. What is an accurate interpretation of this patient's be-havior?
a. Dystonia b. Parkinsonism c. Akathisia d. Tardive dyskinesia
The parents of a teenage client meet with the nurse for the first family session following the client's recent suicide attempt
The nurse expresses empathy with the parents about the stress and worry they have felt over the client's condition. Which of the following reasons most likely explains the nurse's action? A) The nurse wishes to show respect for the family. B) The nurse wants to offset the mother's protective behaviors. C) The nurse wants to take the focus off the mother. D) The nurse is unable to create distance from the family.
Which screenings are appropriate for an adolescent client who admits to being sexually active during a scheduled health maintenance visit? Select all that apply
1. Herpes simplex virus 2. Gonorrhea 3. Chlamydia 4. Impetigo 5. Mononucleosis