A homeless man who is well known to care providers at the local hospital has been admitted to the emergency department after having a seizure outside a mall
The man is known to be a heavy alcohol user and is malnourished with a very low body mass index. How are this patient's characteristics likely to influence possible treatment with phenytoin?
A) The patient will require oral phenytoin rather than intravenous administration.
B) Phenytoin is contraindicated within 48 hours of alcohol use due to the possibility of paradoxical effects.
C) The patient's heavy alcohol use will compete with phenytoin for binding sites and he will require a higher-than-normal dose.
D) The patient's protein deficit will likely increase the levels of the free drug in his blood.
D
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The nurse prepares to discharge an older male adult who has heart failure and is in stable condition, when his wife states that she will avoid sexual activities with him because of his heart disease
Which should the nurse use in patient teaching about sexual activity for an older adult with heart failure? a. An older adult with heart failure should avoid sexual relations because of the de-mand it places on his heart. b. Sexual relations and climbing six flights of stairs expends the same amount of energy. c. Fear and lack of knowledge can cause older people to reduce their sexual activity unnecessarily. d. Sexuality is a private matter between the older male adult and his wife.
A diabetes nurse is performing health education with a 44-year-old woman who has recently learned that she has type 2 diabetes. The nurse is teaching the patient the importance of adhering to her prescribed treatment regimen
When providing this health education, the nurse should emphasize: A) The patient's independent responsibility for making informed changes to her treatment regimen B) The fact that adherence to a prescribed treatment regimen usually requires careful planning C) The fact that well-intending friends and family members usually challenge the validity of the treatment regimen D) The need to avoid online information sources because they tend to contradict evidence-based regimens
The board of directors is appointing a colleague to head the implementation of a new health information system. Which employee would be the most appropriate leader?
A) Resident emergency department physician who was recently hired B) Nurse manager of a 16-bed coronary-care unit who has been employed at the institution for one year C) Chief nursing information officer (CINO) appointed two years ago D) Nurse supervisor of the medical-surgical units, encompassing 130 beds
Which of the following is an advantage of breastfeeding for the infant?
A) Breast milk is more difficult to digest, so it makes the infant feel fuller longer. B) Breast milk contains antibodies and thus decreases the possibility of gastrointestinal illnesses. C) It takes less effort for an infant to suck at a breast than from a bottle. D) Breast milk leads to firmer stools, increasing bowel tone.