Why would the nurse anticipate an adverse reaction in an older adult who is taking the protein-bound drug warfarin (Coumadin)?
a. Unbound active drug molecules continue to circulate in the bloodstream.
b. The bleeding and clotting times will decrease.
c. The drug becomes ineffective and does not deliver its intended therapeutic action.
d. Renal damage can occur from the altered drug molecules.
ANS: A
Unbound drug molecules will still be circulating, leading to excess drug in the bloodstream.
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Which of the following is an example of an authoritarian style of leadership?
a. The practical nurse assigns the nursing assistants to specific times for their breaks and lunch b. The practical nurse designs a rotating sche-dule for assigning breaks and lunch c. Nursing assistants are not assigned to breaks and lunches d. Nursing assistants sign up for the break and lunch that they prefer and negotiate if there are any conflicts
After several rounds of treatment for TB over past several years, a patient continues to test positive for active TB, a fact that the care team attributes to the patient's nonadherence to treatment
The patient's most recent diagnostic workup reveals that he now has multidrug resistant TB. The nurse should anticipate that the patient may require treatment with A) a fluoroquinolone. B) penicillin G. C) clindamycin or lincomycin. D) a macrolide antibiotic.
A nurse is teaching a group of couples a class on building positive relationships at a local community center
The nurse is focusing this session on learning skills to be open-minded and respectful to those with opposing opinions. Based on this data, on which component of wellness is the nurse focusing this session? A) Physical B) Social C) Environment D) Emotional
The nurse is caring for a patient with hepatic encephalopathy
The nurse's assessment reveals that the patient exhibits episodes of confusion, is difficult to arouse from sleep, has rigid extremities, and shows EEG abnormalities. Based upon these clinical findings, what is the patient's stage of hepatic encephalopathy? A) Stage 1 B) Stage 2 C) Stage 3 D) Stage 4