The nurse is caring for a patient scheduled for surgery who is to receive a barbiturate as part of the planned balanced anesthesia
What drugs, if taken by the patient, could result in a clinically important drug–drug interaction with the barbiturate? (Select all that apply.) A) Thyroid hormone
B) Ibuprofen
C) Oral contraceptive
D) Theophylline
E) Anticoagulant
C, D, E
Feedback:
Caution must be used when these drugs are used with any other central nervous system suppressants. Barbiturates can cause decreased effectiveness of theophylline, oral anticoagulants, beta-blockers, corticosteroids, hormonal contraceptives, phenylbutazones, metronidazole, quinidine, and carbamazepine. Combinations of barbiturate anesthetics and narcotics may produce apnea more commonly than occurs with other analgesics. Thyroid hormone and ibuprofen have no known drug interactions with barbiturates.
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The nurse is caring for a patient whose family does not want the patient to be told about the new diagnosis of cancer because of the poor prognosis. Keeping this secret from the patient is in direct conflict with the ethical concepts of:
a. autonomy and veracity. b. veracity and advocacy. c. justice and nonmaleficence. d. confidentiality and justice.
The nurse is working with a teenager who has insulin-dependent diabetes. This adolescent has returned to the hospital after being discharged a month ago. Both hospitalizations are because of the blood sugar getting out of control
The nurse suspects the teen is not open about the diabetes then interacting with peers. Select the statement that would be most helpful for the nurse to say. a. "Some teenagers who have diabetes don't like friends to know about it. How has it been for you?" b. "Have you told your friends and classmates about your diabetes and the need to eat in a healthier way?" c. "You really need to tell your friends and classmates about your diabetes and let them help you manage it." d. "I suspect you postpone testing your blood sugar and taking your insulin then you are with friends. Am I right?"
The IOM report, "The Future of Nursing: Leading Change, advancing Health" provides a blueprint change. The key messages include which of the following?
a. Nurses should practice to the full extent of their education and training b. Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression c. Nurses should be full partners, with physicians and other health professions, in redesigning health care in the United States d. Effective workforce planning and policy making require better data collection, and an improved information infrastructure e. All of the above
You know that home health agencies are certified through a process where stipulated conditions must be present in order for the agency to give services to the public and receive payment for those services
Using your knowledge about financing, what are the criteria of providing care over several hours during the day, several days during the week, for a specified time period called? A) Specific plan of care B) Skilled health care needs C) Intermittent care needs D) Continuous necessity for care