A patient is taking a medication that is metabolized by the CYP enzymes. Which of the following medications inhibits several of the CYP enzymes?
A) Cisplatin
B) Acebutolol hydrochloride
C) Cimetidine
D) Dicloxacillin sodium
C
Feedback:
Cimetidine is a gastric acid suppressor that inhibits several CYP enzymes and can greatly decrease drug metabolism. The other listed drugs do not have this specific effect.
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The patient has a gallstone blocking the bile duct. Upon assessment of the patient's laboratory studies, the nurse will expect to find a(n):
A) Increased bilirubin level in the blood B) Decreased cholesterol level C) Increased BUN level D) Decreased serum alkaline phosphatase level
A patient, preparing for patient-controlled analgesia for pain relief after a cesarean birth, asks if this is an effective way to control pain. What should the nurse respond to the patient?
A) "It is effective, but the amount of analgesic used will preclude breastfeeding.". B) "Every woman reacts differently to pain, so it would be impossible to predict.". C) "Not only is it effective but it also will reduce the amount of narcotic needed.". D) "Most women do not feel well enough after surgery to want control of their own pain relief.".
A nurse has evaluated the learning needs of a community support group. Which of following steps should the nurse take when developing an educational program for them?
a. Consider any potential barriers to learning b. Establish goals and objectives for the pro-gram c. Select appropriate materials for the pro-gram d. Assess the dynamics of the group
When teaching parents how to provide oral care to their child, the nurse instructs them to:
a. give bottles with juice at bedtime. b. begin dental visits after the child is 8 years old. c. allow the preschool child to floss his teeth without parental supervision. d. limit snacks to three or four per day.