A provider has ordered oral voriconazole [Vfend] for a patient who has a systemic fungal infection. The nurse obtains a medication history and learns that the patient takes phenobarbital for seizures
The nurse will contact the provider to discuss which possibility? a. Administering intravenous voriconazole
b. Reducing the dose of phenobarbital
c. Reducing the dose of voriconazole
d. Using a different antifungal agent
D
Voriconazole can interact with many drugs. It should not be combined with drugs that are po-werful P450 inhibitors, including phenobarbital, because these can reduce the levels of vorico-nazole. Administering the voriconazole IV will not increase the serum level. It is not correct to reduce the dose of either drug.
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A woman who works from 3 to 11 PM was grabbed from behind by a man who put a gun to her head
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The nurse is instructing the client about a blood test that will be drawn to measure the client's aldosterone level. What should the nurse instruct this client?
1. To fast for one hour prior to the test 2. To lie supine for 1 hour prior to the test 3. Avoid shellfish prior to the test 4. To avoid smoking for 8 hours prior to the test
A man comes to the clinic complaining that he is having difficulty obtaining an erection. When reviewing the patient's history, what might the nurse note that contributes to erectile dysfunction?
A) The patient has been treated for a UTI twice in the past year. B) The patient has a history of hypertension. C) The patient is 66 years old. D) The patient leads a sedentary lifestyle.
Which receptors carry out primary functions of the parasympathetic nervous system? Select all that apply
a. NMDA b. COX-1 c. COX-2 d. Nicotinic e. Muscarinic