A patient taking oral contraceptives thinks she may be pregnant. As part of this patient's history, what will the nurse ask the patient?
a. "Do you drink grapefruit juice?"
b. "Do you take seizure medication?"
c. "Do you take your contraception with milk?"
d. "Do you use laxatives regularly?"
B
Patients taking oral contraceptives along with phenobarbital, which is used to treat seizures, will have lower levels of the contraceptive, because phenobarbital is an inducing agent, which causes an increase in the metabolism of oral contraceptives. Grapefruit juice inhibits the metabolism of some drugs, leading to toxic effects. Dairy products interfere with the absorption of tetracyclines, because the calcium binds with the drug to form an insoluble complex. Laxatives reduce the ab-sorption of some drugs by speeding up the transit time through the gut.
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A couple wants to start a family and they are concerned that their child will be at risk for cystic fibrosis because they each have a cousin with cystic fibrosis. What should the nurse practitioner tell them about cystic fibrosis?
A) It is an autosomal dominant disorder. B) It is passed by mitochondrial inheritance. C) It is an X-linked inherited disorder. D) It is an autosomal recessive disorder.
Which statement is the most suitable for establishing goals when teaching an older adult with a chronic illness about potential changes in the health maintenance regimen?
a. Management of the client's chronic disease rests on the client and the caregiver, so goals should be set collaboratively. b. The client will be able to make needed changes in his life if you provide accurate, written instructions. c. Psychological functioning is usually impaired only to a small extent in a client with a chronic illness. d. The client's values, culture, and beliefs will have little to do with the types of changes he will be able to make.
The nurse is aware that the leading cause of acquired heart disease in children is __________
Fill in the blank(s) with correct word
Dysthymia is characterized by
1. A long-term period of mild depression and related symptoms that does not disable a person but keeps him or her from feeling good. 2. Cycles of depression and mania. 3. Depressed mood most of the day, markedly diminished interest or pleasure in most activities, sleep disturbance, and fatigue. 4. Severe anxiety that may result in a panic attack.