The nurse is counseling a woman who will be starting rifampin (Rifadin) as part of antitubercular therapy. The patient is currently taking oral contraceptives. Which statement is true regarding rifampin therapy for this patient

a. Women have a high risk for thrombophlebitis while on this drug.
b. A higher dose of rifampin will be necessary because of the contraceptive.
c. Oral contraceptives are less effective while the patient is taking rifampin.
d. The incidence of adverse effects is greater if the two drugs are taken together.


ANS: C

Women taking oral contraceptives and rifampin need to be counseled about other forms of birth control because of the impaired effectiveness of the oral contraceptives during concurrent use of rifampin.

Nursing

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The nurse is caring for a patient in the ICU who has been diagnosed with multiple organ dysfunction syndrome (MODS). The nurse's plan of care should include which of the following interventions?

A) Encouraging the family to stay hopeful and educating them to the fact that, in nearly all cases, the prognosis is good B) Encouraging the family to leave the hospital and to take time for themselves as acute care of MODS patients may last for several months C) Promoting communication with the patient and family along with addressing end-of-life issues D) Discussing organ donation on a number of different occasions to allow the family time to adjust to the idea

Nursing

A mother of a 3-year-old child brings her child to the clinic. The child is diagnosed with pinworms. What drug would be the best choice for the patient?

A) Pyrantel (Pin-Rid) B) Ivermectin (Stromectol) C) Mebendazole (Vermox) D) Albendazole (Albenza)

Nursing

A nurse is working for the federal government to provide for the protection of the public's health. Which of the following actions would the nurse most likely complete?

a. Interpreting decisions related to women's right to privacy b. Setting up immunization clinics for small-pox vaccine c. Regulating nursing at the state level d. Monitoring the influx of disease at the borders

Nursing

During a health history, the nurse learns that a young adult smokes cigarettes, drinks alcohol, and does not exercise routinely. What should this information suggest to the nurse? (Select all that apply.)

a. The patient is isolated. b. The patient is having a crisis with intimacy. c. The patient has poor coping mechanisms for stress. d. The patient is participating in risky lifestyle choices. e. The patient has adopted positive ways to cope with stress.

Nursing