Phenytoin decreases folic acid absorption by:

1. Altering the pH of the stomach
2. Increasing gastric emptying time
3. Inhibiting intestinal enzymes required for folic acid absorption
4. Chelation of the folic acid into inactive ingredients


3

Nursing

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A patient is receiving methylergonovine (Methergine) after a vaginal birth. What assessment finding by the nurse warrants immediate intervention?

A. Headache B. Nausea C. Palpitations D. Uterine cramping

Nursing

When the client can consciously verbalize how he or she thinks, feels, believes, and knows how to behave in specific situations, the client is demonstrating:

a. real self c. self-identity b. public self d. self-awareness

Nursing

You are caring for a patient who is in skeletal traction. What is most important to do frequently when caring for a patient in skeletal traction to maintain effective traction?

A) Check the traction apparatus to see that the ropes are in the wheel grooves of the pulleys. B) Make sure that the weights hang freely. C) Make sure that the knots in the rope are tied securely. D) Evaluate patient's position, because slipping down in bed results in ineffective traction.

Nursing

A 33-year-old female client with a diagnosis of bipolar I disorder has a history of having reckless, frequent, and anonymous sexual encounters during manic periods. As a result, she has recently tested positive for a chlamydial infection

What is the most appropriate outcome for this client? A) The client will demonstrate three positive coping strategies when feeling the impulse to seek new sexual encounters. B) The client will comply with antibiotic therapy for the treatment of chlamydial infection. C) The client will learn to control mood and behavior in a more effective manner during manic episodes. D) The client will exhibit better self-control and more responsible behavior.

Nursing