An older adult patient has been prescribed telithromycin for community-acquired pneumonia. The nurse has contacted the patient's primary care provider because the patient is on replacement corticosteroid therapy
Why is concomitant use of telithromycin and corticosteroids contraindicated? A) The woman may be unable to adequately metabolize her corticosteroid.
B) The effect of the corticosteroid may be greatly increased.
C) The woman may have an increased risk of thromboembolism.
D) The corticosteroid may negate the efficacy of the telithromycin.
A
Feedback:
Telithromycin is a potent CYP3A4 inhibitor. Combination of this drug with several medications, including corticosteroids, results in an increased serum concentration of these other drugs.
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Primary assessment of a motor vehicle accident (MVA) victim reveals increasing respiratory distress, absent breath sounds over the upper third of the right lung, tachycardia, and probable fracture of the right humerus
Which of the following would be the best action for the nurse to take next? A) Obtain an electrocardiogram. B) Inquire about medication allergies. C) Prepare for insertion of a chest tube. D) Splint the fracture.
The nurse describes a new technological service to the patient that will monitor several assessments remotely. This new intervention is known as ___________ home visits
ANS:
Following a fatal automobile accident, the client reports insomnia and terrifying nightmares. The symptoms persist for months. Diagnostic testing reveals no physical basis for these recurrent symptoms. These symptoms suggest the client is experiencing which of the following?
A) Exaggerated fear B) Panic attack C) Phobic disorder D) Post-traumatic stress disorder
An older patient's spouse passed away 4 years ago; however, the patient still sets a place at the dinner table for the spouse and has never removed any clothing or other personal items from the home. What does the nurse suspect the patient is experiencing?
1. Normal grief 2. Hopelessness 3. Survivor guilt 4. Pathological grief