A client is ordered to receive warfarin (Coumadin), which is highly protein bound. Another medication that is equally highly protein bound is ordered. The nurse anticipates that the dosage will be:
a. increased for one drug.
b. increased for both drugs.
c. decreased for one drug.
d. decreased for both drugs.
ANS: D
When drugs are equally protein bound, they will vie for receptor sites. More of both drugs will be displaced, allowing for a greater level of medication activity.
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The infection control officer recognizes the need for more instruction on surgical asepsis after observing a nurse:
a. facing the sterile field. b. placing a sterile dressing on a sterile field. c. touching the edges of the sterile field with sterile gloves. d. keeping gloved hands above the waist.
In the newborn nursery, you are reviewing the maternal medication list to ascertain if there is any significant risk to the newborn. Which medications would pose a potential risk to the newborn in terms of clotting ability? (Select all that apply.)
a. Carbamazepine b. Phenytoin (Dilantin) c. Phenobarbital d. INH (Isoniazid)
The nurse is planning to attend a program to learn how to respond to mass casualty incidents. Which core competencies should the nurse expect to learn during this program?
Select all that apply. 1. risk reduction, disease prevention, and health promotion 2. nursing process 3. policy development and planning 4. community care 5. ethical and legal practice
The nurse is providing preoperative teaching for a patient recovering from a cystogram. For which reason should the patient be instructed to contact the healthcare provider?
A. Hunger B. Thirst C. Muscle cramps D. Bloody urine