A patient has begun taking the antihistamine astemizole (Hismanal). Which of the following anti-biotics should not be used to treat a concurrent respiratory infection?

a. Cefamandole
b. Penicillin
c. Erythromycin
d. Tetracycline


ANS: C
Arrhythmias usually appear with excessive antihistamine dosages but have been reported with concurrent use of macrolide antibiotics (e.g., erythromycin, clarithromycin), imidazole antifungals (e.g., itraconazole, ketoconazole), and other drugs that inhibit the cytochrome CYP450 system, as well as in patients with severe hepatic disease. Accordingly, histamine1 (H1) antagonists are relatively contraindicated for use in patients with liver disease or those who may be receiving macrolide antibiotics or imidazole antifungal drugs.

Nursing

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Which of these categories are included in a nursing minimum data set?

a. a client's major complaint and a listing of any known allergies b. nursing interventions classification c. demographics, service, and nursing care d. nursing diagnoses

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The nurse is collecting data during an initial assessment. The data that can be seen, heard, measured, or felt and is objective is called a(n):

a. symptom. b. observation. c. sign. d. assessment.

Nursing

The nurse preparing to assess a client for the presence of clubbing would instruct the client to

a. place both hands on a flat surface and splay the fingers. b. place the nails of the ring fingers together. c. sit upright and lean over the bedside table. d. walk 50 feet up the hall as quickly as possible.

Nursing

The most common heart defect is:

1. ASD. 2. Patent Foramen Ovale (PFO). 3. Hypertrophic left heart syndrome. 4. Ventricular Septal Defect (VSD).

Nursing