In 2007, carbamazepine became the first mainstream medication to carry a recommendation by the Food and Drug Administration that patients of Asian descent be tested for the HLA-B*1502 gene before starting drug therapy
Asian patients are almost exclusively carriers of this gene, and if placed on carbamazepine, might develop Stevens-Johnson syndrome. What is the most significant outcome of this recommendation? a. It will provide for early detection of Stevens-Johnson syndrome.
b. It will give practitioners the ability to make decisions about medications for patients based on their ethnicity and/or race.
c. It will provide a cure for Stevens-Johnson syndrome.
d. It will guide genetically based nursing care.
B
This announcement heralded the start of an era that is sure to continue, that is, the ability to make decisions about which medications patients should or should not take based on their ethnicity and/or race. Stevens-Johnson syndrome is a severe side effect of many medications; therefore, this finding will not provide for early detection. Likewise, it will not provide a cure for the syndrome. Although this recommendation may guide genetically based nursing care, it is not the most significant outcome.
You might also like to view...
A 45-year-old woman is being seen at a free clinic and states she needs help because "her husband drinks heavily and it is ruining her family." The best nursing intervention would be:
A) Call the husband's family and friends to obtain support for an intervention. B) Allow the woman to express her feelings and assess for codependent behaviors. C) Call the police and have the man arrested for alcohol abuse and have him hospitalized. D) Remind the woman that her husband's alcohol problem is not her fault and that it is simply a defect in her husband's character.
The nurse is providing education to a client who wants to quit smoking. Which statements are appropriate for the nurse to include in the teaching session with this client? Select all that apply
A) "There is no adverse risk if the client chooses to smoke while wearing a nicotine patch." B) "Bupropion (Zyban) is used to suppress the craving for tobacco." C) "A piece of nicotine gum should be chewed for 5 minutes of every waking hour then held in the cheek." D) "Most persons quit smoking several times before they are successful." E) "Alternative therapies should be considered to help reduce the stress that accompanies smoking cessation."
Which is an accurate statement regarding the responsibility of a manager in advocacy?
A) Advocacy is a management function and not a leadership role. B) Managers should advocate only as needed to meet organizational goals. C) Managers should advocate for patients as well as subordinates. D) Professional advocacy is not a concern for most managers.
In which hypertensive patient is guanethidine contraindicated? The patient with:
a. essential hypertension. b. pheochromocytoma. c. renal artery stenosis. d. coarctation of the aorta.