A patient with high-risk factors for tuberculosis will begin therapy for latent TB with isoniazid and rifampin. The nurse learns that this patient takes oral contraceptives. The nurse will counsel this patient to discuss ____ with her provider
a. another birth control method
b. reducing the rifampin dose
c. reducing the isoniazid dose
d. increasing the oral contraceptive dose
A
Rifampin induces cytochrome P450 enzymes and can accelerate the metabolism of many drugs, including oral contraceptive pills (OCPs). Women taking OCPs should consider a nonhormonal form of birth control. Reducing the dose of rifampin or isoniazid is not indicated. Increasing the OCP dose is not recommended.
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A client has the following arterial blood gases: pH 7.30, HCO3– 17 mEq/L, PCO2 25 mm Hg, PO2 98 mm Hg. Which intervention by the nurse is most appropriate?
a. Prepare to give intravenous sodium bicarbonate. b. Document the findings and continue to assess. c. Assist the physician in determining the cause. d. Administer oxygen at 2 L per nasal cannula.
What does the term infiltration mean?
a. Leakage of intravenous fluid into the surrounding tissue b. Infusion of intravenous fluids at a faster rate than was prescribed c. Plugging up or clotting off the needle during intravenous infusion d. Infusion of intravenous fluids without the use of a pump or controller
The nurse manager is aware that decreased productivity is a side effect of:
a. Withdrawal b. An appraisal report c. Personnel problems d. Conflict with physicians
A psychiatric nurse is caring for a drug-addicted patient. The nurse knows that the goal of drug rehabilitation for this patient is:
a. abstinence from the drug. b. decreasing episodes of relapse. c. minimizing drug cravings. d. reduction of drug use.