When nonsteroidal anti-inflammatory drugs (NSAIDs) are combined with loop diuretics, there is a potential for what?
A) Decreased antihypertensive effect
B) Decreased diuretic effect
C) Lithium toxicity
D) Anaphylactoid reactions
B
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Diuretic effect is often decreased when NSAIDs are taken with loop diuretics. There is a potential for decreased antihypertensive effect of beta-blockers if NSAIDs are combined and there have also been reports of lithium toxicity, especially when lithium is combined with ibuprofen.
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Assessment of an older adult client reveals that the client is receiving psychiatric medications. The client states, "I get dizzy periodically and have trouble walking." Which of the following should the nurse do first?
A) Compare the client's baseline blood pressure with the client's current blood pressure. B) Instruct the client to stop taking the psychiatric medications. C) Interview the client's family about the client's coping skills and current stress level. D) Suggest the client periodically use an alcohol-based mouthwash several times a day.
Evaluation of the dually diagnosed client's progress is often a difficult process. Which of the following best describes the problem with this ongoing, ever-changing process?
A) Clients often run out of money for treatment during this phase. B) Clients' families become burned out during this phase. C) Clients have a high potential for relapse and recidivism during this phase. D) Clients do not often continue to participate in treatment after detoxification.
Which instruction should be included in the teaching of a patient discharged with a transdermal nitroglycerin patch?
1. "Rotate the patches on nonhairy areas of your body." 2. "Apply the patch to the same site each day to maintain consistent drug absorption." 3. "If you get a headache, remove the patch for 4 hours and then reapply." 4. "If you get chest pain, apply a second patch right next to the first patch."
At 2100, J.O.'s guard summons you to his room. J.O. is pale, slightly confused, and complaining of chest
pain and dyspnea. Vital signs are 90/60, 120, 28, 100.0° F (37.8° C), and Spo2 of 84%. His pulse is weak and thready and there are petechiae on his chest. What do you immediately expect is occurring and why?