A nurse is obtaining a drug history from a patient about to receive sulfadiazine. The nurse learns that the patient takes warfarin, glipizide, and a thiazide diuretic. Based on this assessment, the nurse will expect the provider to:
a. change the antibiotic to TMP/SMZ.
b. increase the dose of the glipizide.
c. monitor the patient's electrolytes closely.
d. monitor the patient's coagulation levels.
D
Sulfonamides interact with several drugs and through metabolism-related interactions can inten-sify the effects of warfarin. Patients taking both should be monitored closely for bleeding ten-dencies. Changing to the combination product will not help, because sulfonamides are still present. Sulfonamides intensify glipizide levels, so this drug may actually need to be reduced. Trimethoprim, not sulfonamides, raises potassium levels.
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The patient is struggling with a decision whether or not to receive experimental treatment. What is the nurse's role when caring for this patient?
a. Provide recommendations for decision making. b. Teach the patient how to apply logic to the situation. c. Advocate for the patient with the primary healthcare provider. d. Listen to the patient's thoughts, ask questions, and provide support.
Lauren was found unresponsive at home with an empty bottle of diazepam nearby. The initial pharmacologic management should include
A) atropine and fomepizole. B) naloxone and oxygen. C) syrup of ipecac. D) flumazenil and activated charcoal.
Antioxidants are viewed as helpful in the prevention and treatment of cancer because they have which effects?
a. They stimulate platelet production. b. They minimize the toxic effects of other antineoplastics. c. They eliminate free radicals. d. They alleviate nausea.
A public health care system would be most characterized by which of the following?
A) Privatization of all functions of the health care system B) Government financing of health care services C) A market-driven approach to health care D) A view of health care services as commodities