A patient is being treated with warfarin [Coumadin] to prevent thrombus. The patient develops hyperuricemia, and the provider orders allopurinol [Zyloprim]. The nurse will contact the provider to discuss ____ the ____ dose
a. increasing; allopurinol
b. increasing; warfarin
c. reducing; allopurinol
d. reducing; warfarin
D
Allopurinol can inhibit hepatic drug-metabolizing enzymes and thus delay the inactivation of other drugs. This is a particular concern in patients taking warfarin; therefore, the warfarin dose should be reduced when allopurinol is also used. It is not correct to increase the allopurinol dose, increase the warfarin dose, or reduce the allopurinol dose.
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A) Have a patient provide input on the quality of care received. B) Remove a patient's surgical staples on the scheduled postoperative day. C) Provide information on a follow-up appointment for a postoperative patient. D) Document a patient's improved air entry with incentive spirometric use.
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The nurse clarifies that when interstitial edema occurs in the lung tissue, it inhibits ventilation by causing which problem(s)? (Select all that apply.)
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