A patient who is prescribed gabapentin (Neurontin) is also taking morphine sulfate for severe pain. What dosage adjustment does the nurse expect?
a. Decreased dosage of gabapentin
b. Increased dosage of gabapentin
c. Decreased dosage of morphine
d. Increased dosage of morphine
A
When a patient takes morphine at the same time as gabapentin, the blood level of gabapentin is increased. The nurse should expect that the ordered dose of gabapentin will be decreased.
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The nurse is caring for an older adult client who is concerned about her driving. Appropriate responses by the nurse include: (Select all that apply) Standard Text: Select all that apply
1. Fatty deposits in the brain cause a decrease in cerebral metabolism that slows thought processes 2. Physiologic neurologic changes cause a decrease in motor responses 3. Tasks that require quick response are harder for young adults as well 4. The size and weight of the brain decreases with aging 5. The immune system becomes less effective
The new principal stopped the school nurse in the hall and said, "I need to get oriented here. We seem to have a lot of handicapped children. Please make me a copy of their medical records so I can be prepared to meet with the parents if they come in."
Which of the following is the most appropriate response by the nurse? a. "I'd be happy to help you get oriented to our students. I'll prepare a summary of our special students' needs and problems for you." b. "I'm so happy to hear of your interest; I'll get those records to you immediately." c. "I'm glad you're interested. Student health records are confidential, but I'll give you a schoolwide overview without any identifying data." d. "Let me check our school board policies regarding sharing of information and get back to you."
The nurse is caring for a postsurgical patient whose surgical procedure lasted 3 hours. The nurse anticipates that the patient will experience:
a. thrombophlebitis. b. muscle spasms. c. joint pain. d. hyperthermia.
A nursing student asks the staff nurse which of the following medications would be least effective as a monotherapy in treating acute anginal pain. The nurse responds appropriately with:
a. "propranolol." c. "nitroglycerin." b. "amyl nitrite." d. "isosorbide dinitrate."