The nurse is caring for a 27-year-old patient taking a cannabinoid during chemotherapy. Which consideration will the nurse take into account?

a. Antihistamines may potentiate the effects.
b. Monitor the patient for fluid volume excess.
c. Previous use of marijuana requires increased dosage.
d. Inform the patient to avoid the intake of potassium.


ANS: A
Antihistamines, alcohol, analgesics, benzodiazepines, barbiturates, antidepressants, muscle relaxants, and sedative hypnotics increase toxic effects. Fluid volume excess is not an adverse effect of cannabinoids. Previous use does not necessarily require increased dosage. There are no dietary restrictions with the use of cannabinoids.

Nursing

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A nurse asks the manager why the nursing staff seems to have the bulk of the responsibility for preventing errors in patient care. The manager explains that the primary reason nurses are best situated to recognize and prevent errors is because they

a. are leaders on the health care team. b. have refined communication skills. c. interact with patients so frequently. d. provide the majority of risky care.

Nursing

A patient with cardiovascular disease is being treated with amlodipine (Norvasc), a calcium channel blocking agent. The therapeutic effects of calcium channel blockers include which of the following?

A) Reducing the heart's workload by decreasing heart rate and myocardial contraction B) Preventing platelet aggregation and subsequent thrombosis C) Reducing myocardial oxygen consumption by blocking adrenergic stimulation to the heart D) Increasing the efficiency of myocardial oxygen consumption, thus decreasing ischemia and relieving pain

Nursing

The nurse manager is conducting an interview for a position as a full-time RN in a Critical Unit

Which of the following statements made by the nurse manager would be most effective in selecting a qualified nurse for this position? Select all that apply. 1. ?I have 20 years of experience as a critical care nurse and I am an advanced practice nurse in adult medical surgical nursing.? 2. ?We have lots of overtime. Do you mind doing overtime?? 3. ?Tell me about your past work experience.? 4. ?Please tell me about your most rewarding experience as a nurse.? 5. ?Do you know how to care for a client on a ventilator??

Nursing

You are called to your patient's room by a family member who voices concern about the patient's status. On assessment, you find the patient tachypneic, lethargic, weak, and exhibiting a diminished cognitive ability. You also find 3+ pitting edema

What electrolyte imbalance would you suspect? A) Hypercalcemia B) Hyponatremia C) Hyperchloremia D) Hypophosphatemia

Nursing