James is a 52-year-old overweight smoker taking theophylline for his persistent asthma. He tells his provider he is going to start the Atkin's diet for weight loss. The appropriate response would be:
1. Congratulate him on making a positive change in his life.
2. Recommend he try stopping smoking instead of the Atkin's diet.
3. Schedule him for regular testing of serum theophylline levels during his diet due to increased excretion of theophylline.
4. Decrease his theophylline dose because a high-protein diet may lead to elevated theophylline levels.
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Your 24-year-old female patient complains of tenderness at the entrance of the vagina on the right side. She cannot sit comfortably because of the soreness in the perineal area
On pelvic exam, there is of a tender, inflamed, fluctuant cyst at the introitus on the right side. These signs and symptoms are indicative of: A. Possible malignancy B. Bartholin cyst C. Nabothian cyst D. Candidiasis
As a nursing student in a pediatric course, one should reasonably expect the following training:
1. Simulated-learning environments with infant/child human patient simulators and use of standardized patient scenarios. 2. Insurance approval mechanisms. 3. Health promotion and disease prevention. 4. 1 and 3.
The nurse is caring for a client who is experiencing a "burning" pain in the left leg. The nurse determines that further information is needed when the client makes which statement?
A. "This type of pain can range from electric shock to dull and aching or sharp pain." B. "This type of pain may not respond well to pain pills." C. "My pain will be quickly cured with treatment." D. "I know this pain is related to damaged nerves."
In a fetal heart rate tracing with marked variability, which of the following is likely the cause?
A. Recent ephedrine administration B. Recent epidural placement C. Fetal acidemia