A prescriber has ordered deferasirox [Exjade] to treat iron overload associated with chronic blood transfusions. The nurse learns that the patient takes cholestyramine to reduce cholesterol
The nurse will contact the provider to request an order to: a. increase the cholestyramine dose.
b. increase the deferasirox dose.
c. monitor cholesterol levels.
d. monitor liver function tests.
B
Cholestyramine can reduce absorption of deferasirox; if the combination cannot be avoided, the dose of deferasirox should be increased. Increasing the dose of cholestyramine will only worsen the problem. It is not necessary to monitor the cholesterol level. Liver function testing should be routine with deferasirox administration, but not because of the combination of this drug with cholestyramine.
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A newly married couple is seeking genetic counseling because they are both carriers of the sickle cell trait. How can the nurse best explain the children's risk of inheriting this disease?
a. Every fourth child will have the disease; two others will be carriers. b. All of their children will be carriers, just as they are. c. Each child has a one in four chance of having the disease and a two in four chance of being a carrier. d. The risk levels of their children cannot be determined by this information.
A school-age female child has a urinary tract infection (UTI). The culture has come back positive for Escherichia coli. Which teaching measure is most important for the nurse to include in the teaching plan?
A. Avoid bubble baths and nylon panties. B. Offer the child fluids frequently. C. Place the child on a voiding schedule. D. Teach the child to wipe from front to back.
A patient's mean corpuscular volume (MCV) is low. How would the nurse explain this finding to the patient?
1. "Your red blood cells do not have enough hemoglobin.". 2. "Your red blood cells are not consistent in size.". 3. "Your hematocrit is low.". 4. "Your red blood cells are small.".
Which abnormality of the penis does this patient most likely have?
A 20-year-old part-time college student comes to your clinic, complaining of growths on his penile shaft. They have been there for about 6 weeks and haven't gone away. In fact, he thinks there may be more now. He denies any pain with intercourse or urination. He has had three former partners and has been with his current girlfriend for 6 months. He says that because she is on the pill they don't use condoms. He denies any fever, weight loss, or night sweats. His past medical history is unremarkable. In addition to college, he works part-time for his father in construction. He is engaged to be married and has no children. His father is healthy and his mother has hypothyroidism. On examination the young man appears healthy. His vital signs are unremarkable. On visualization of his penis you see several moist papules along all sides of his penile shaft and even two on the corona. He has been circumcised. On palpation of his inguinal region there is no inguinal lymphadenopathy. A) Condylomata acuminata B) Genital herpes C) Syphilitic chancre D) Penile carcinoma