The nurse is providing care to a client who is taking several different medications, both prescribed and over-the-counter (OTC). The nurse is consulting with the charge nurse about possible interactions. Which statement by the nurse explains the increased potential for adverse drug–drug and drug–herbal interactions?
1. "The restrictions placed by the FDA are stricter."
2. "People are using more herbs, so the risk for interaction is greater."
3. "Drugs are being developed at a faster rate than their risk can be assessed."
4. "Managed care has made a greater number of drugs available to consumers."
3
Rationale 1:"The restrictions placed by the FDA are stricter" is incorrect because FDA restrictions are broader, and cover information about non–FDA-approved uses of certain drugs.
Rationale 2:"People are using more herbs, so the risk for interaction is greater" is incorrect. While the use of herbal products has increased, this is not the underlying reason for increased adverse potential.
Rationale 3:"Drugs are being developed at a faster rate than their risk can be assessed" is correct. Because of the higher number of drugs being approved for therapy, the potential for adverse drug–drug and drug–herbal interactions is greater than ever before.
Rationale 4:"Managed care has made a greater number of drugs available to consumers" is incorrect because managed care involvement does not come into play with higher number of interactions.
Global Rationale: "Drugs are being developed at a faster rate than their risk can be assessed" is correct. Because of the higher number of drugs being approved for therapy, the potential for adverse drug–drug and drug–herbal interactions is greater than ever before. "The restrictions placed by the FDA are stricter" is incorrect because FDA restrictions are broader, and cover information about non–FDA-approved uses of certain drugs. "People are using more herbs, so the risk for interaction is greater" is incorrect. While the use of herbal products has increased, this is not the underlying reason for increased adverse potential. "Managed care has made a greater number of drugs available to consumers" is incorrect because managed care involvement does not come into play with higher number of interactions.
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The Wellington Mental Health Institute is fully accredited by the AOA and not directly by the CMS. This means that the Wellington facility:
a. Cannot accept mental health patients who are Medicare beneficiaries. b. Can care for only Medicaid and not Med-icare beneficiaries. c. Has not met the standards set by the CMS as determined by an external review panel. d. Has been reviewed and accredited by the AOA, which is a deeming authority for CMS.
A patient diagnosed with Bell's palsy is having decreased sensitivity to touch of the involved nerve. What should the nurse recommend to prevent atrophy of the muscles?
A) Blowing up balloons B) Deliberately frowning C) Smiling repeatedly D) Whistling
The esophagus is a structure that
a. produces and releases digestive enzymes but not hormones. b. does not produce digestive enzymes but does release hormones. c. does not produce or release digestive en-zymes or hormones. d. produces only small amounts of digestive enzymes or hormones.
The nurse teaching the topic of weaning infants with a group of mothers with infants. Which statement should the nurse make that is related to weaning an infant?
A) "It is best to just pick a day and stop breast- or bottle-feeding and wean the infant to a cup." B) "If the infant is eating from a dish and drinking from a cup they no longer need a bottle or breast-feeding." C) "It is important to let the infant set the pace for weaning, no matter what age they are." D) "The infant who is interested in watching others drink from a cup is ready to be weaned."