A patient is admitted to the hospital and will begin taking levothyroxine [Synthroid]. The nurse learns that the patient also takes warfarin [Coumadin]. The nurse will notify the provider to dis-cuss ____ the ____ dose
a. reducing; levothyroxine
b. reducing; warfarin
c. increasing; levothyroxine
d. increasing; warfarin
B
Levothyroxine accelerates the degradation of vitamin K–dependent clotting factors, which en-hances the effects of warfarin. Patients taking warfarin who start taking levothyroxine may need to have their warfarin dose reduced. It is not correct to increase or decrease the levothyroxine dose or to increase the warfarin dose.
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A patient who is recovering from a coronary artery bypass graft (CABG) is anxious about resuming normal levels of activity and mobility, citing a fear of putting undue strain on his heart, as well as being unable to safely mobilize
Consequently, the patient has expressed his intention to remain on bed rest for several days. How should the nurse respond to this patient's concerns about activity and mobility? A) "There are actually a lot of benefits of moving early and often. While you're mobilizing, we'll keep you safe." B) "Actually, your plan of care already includes several days of bed rest to make sure that your heart is fully recovered." C) "It would be ideal if you could do some light mobilizing soon, but you can let us know when you would like to begin this." D) "You'll have to get permission from your cardiologist if you want to stay in bed for longer than normal."
A client is exhibiting signs of increasing intracranial pressure (ICP). Which intravenous solution (IV) would the nurse anticipate hanging?
A) Dextrose 5% in water (D5W) B) Half-normal saline (0.45% NSS) C) One-third normal saline (0.33% NSS) D) Mannitol (Osmitrol)
A late sign of decreased oxygen levels may cause a change in skin color known as _________
Fill in the blanks with correct word
The nurse is working with a client with anorexia nervosa. Even though the client has been eating all her meals and snacks, her weight has remained unchanged for 1 week. Which of the following interventions is indicated?
a. Supervise the client closely for 2 hours after meals and snacks. b. Increase the daily caloric intake from 1500 to 2000 calories. c. Increase the client's fluid intake. d. Request an order from the physician for fluoxetine.