The nurse is caring for a patient diagnosed with human immunodeficiency virus (HIV) and newly diagnosed angina. What drug would the nurse question if ordered?
A) Ranolazine (Ranexa)
B) Nitroglycerin (generic)
C) Propranolol
D) Diltiazem
A
Feedback:
Drug–drug interactions can occur with ketoconazole, diltiazem, verapamil, macrolide antibiotics, and HIV protease inhibitors; these combinations should be avoided because ranolazine levels may become extremely high. The nurse should get a complete list of current medications and consult with the health care provider regarding drug interactions before administering the medication as ordered. Nitroglycerin, propranolol, and diltiazem have no contraindication with medications used to treat HIV.
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Which theorist believes that health is associated with the degree of congruence between the self as perceived and the self as experienced?
a. Jean Watson b. Martha Rogers c. Florence Nightingale d. Rosemarie Parse
The nurse is working in a clinic where children from several cultures are seen. What should the nurse do as a first step toward the goal of personal cultural competence?
1. Enhance cultural skills. 2. Gain cultural awareness. 3. Seek cultural encounters. 4. Acquire cultural knowledge.
A patient has finally been diagnosed with amyotrophic lateral sclerosis (ALS) after seeing several physicians. The patient expresses frustration that the diagnosis has taken so long. What information can the healthcare professional give to the patient about this situation?1
a. Many diseases cause weakness and fatigue. b. Only upper motor neurons are involved. c. Several nerves are connected to each muscle. d. Lack of sensation makes it hard to describe.
The patient has a chest tube for a pneumothorax. Assessment revealed no continuous bubbling in the water-seal chamber. The nurse finds no loose connections. After the chest tube near the patient is clamped, the bubbling stops
The nurse's first action should be to: a. apply pressure to the dressing around the chest tube insertion site. b. move the clamp farther down the tube and note whether bubbling resumes. c. replace the entire collection tubing and system. d. increase suction control until bubbling does not resume when the clamp is removed.