The nurse practitioner instructs the patient to use over-the-counter ranitidine (Zantac) instead of cimetidine (Tagamet). What risk is decreased when using ranitidine rather than cimetidine?
A) Headache
B) Drug-to-drug interaction
C) Diarrhea
D) Bradycardia
B
Feedback:
Unlike cimetidine, ranitidine (Zantac), famotidine (Pepcid, Pepcid RPD), and nizatidine (Axid) do not affect the cytochrome P450 drug-metabolizing system in the liver and therefore do not interfere with the metabolism of other drugs. Use of these other drugs may be preferable in patients who are critically ill because they often require numerous other drugs with which cimetidine may interact.
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Which of the following statements are true regarding post-traumatic stress disorder (PTSD)?
A. Individuals suffering from PTSD may display physical manifestations. B. Professional "burnout" is rare secondary to PTSD. C. Critical incident stress management is the only method to deal with PTSD. D. Manifestations of PTSD are purely psychological.
A nurse supports the use of traditional home remedies in conjunction with Western medicine to promote healthy behaviors. Which of the following is being demonstrated by the nurse?
a. Cultural accommodation b. Cultural awareness c. Cultural preservation d. Cultural repatterning
The high school student tells the school nurse that during biology the class learned that alcohol is associated with erectile dysfunction. The student wonders why so many girls get pregnant during evenings when alcohol is consumed
The nurse plans a response based upon which concept? 1. Alcohol is a central nervous system depressant which affects judgment. 2. Erectile dysfunction only occurs after years of alcohol abuse. 3. Alcohol is a sexual stimulant. 4. Erectile dysfunction occurs only in men older than 50.
A pregnant client is in a motor vehicle crash and needs surgery to repair a fractured lower leg. What special precautions will this client need during and after the surgery? Select all that apply
1. Prepare for intubation. 2. Insert a nasogastric tube. 3. Maintain on strict bed rest. 4. Insert an indwelling urinary catheter. 5. Apply sequential compression devices (SCDs).