A patient is taking drug A and drug B. The primary care NP notes increased effects of drug B. The NP should suspect that in this case drug A is a cytochrome P450 (CYP450) enzyme:
a. inhibitor.
b. substrate.
c. inducer.
d. metabolizer.
A
If drug A is a CYP450 enzyme inhibitor, it decreases the capacity of the enzyme to metabolize drug B, causing more of drug B to be available. A substrate is a drug acted on by the enzyme. If drug B is an enzyme inducer, it would cause increased metabolism of drug A.
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After the patient is admitted to the home health services system, a treatment plan is drafted cooperatively with the physician and is signed. A separate, detailed care plan is always required for which disciplines?
a. Registered nurse b. Physical therapist c. Home health aide d. LPN/LVN
During an assessment the nurse suspects an older male patient is experiencing andropause. What did the nurse assess in this patient? (Select all that apply.)
A) Breast enlargement B) Testicular shrinking C) Dark spots on the skin D) Reduced muscle mass E) Bruising and petechiae
Vitamin C is water soluble medication dissolved, filtered, and is excreted out of the body through what organ?
1. The small bowel in feces. 2. The gallbladder through the liver. 3. The kidneys through urine. 4. It is evaporated out the skin.
Which should the nurse include in the client education about the structure and function of the skin?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. The outermost layer of the epidermis serves as the major waterproof barrier to the environment. B. The epidermis provides a foundation for the accessory structures such as hair and nails. C. The amount of subcutaneous tissue varies and is determined by nutritional status and heredity. D. Most receptor nerve endings, oil glands, sweat glands, and blood vessels are found within the subcutaneous fat. E. The deepest epidermal layer provides new cells.