The client is being treated with conjugated estrogen (Prempro). She tells the nurse that she is also taking a tricyclic antidepressant. The nurse anticipates that the interaction of the two drugs may result in a(n):
a. decreased amount of conjugated estrogen.
b. decreased amount of the tricyclic antidepressant.
c. anaphylactic reaction to the medication.
d. toxic level of the medication.
ANS: D
Toxicity may develop when conjugated estrogens are combined with tricyclic antidepressants.
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The nurse is admitting a child who has been diagnosed with Kawasaki disease. What is the most serious complication for which the nurse should assess in Kawasaki disease?
a. Cardiac valvular disease b. Cardiomyopathy c. Coronary aneurysm d. Rheumatic fever
Translational research/science will do which of the following? (Select all that apply.)
a. Result in biomedical research becoming less flexible in response to the needs of society b. Limit interdisciplinary research because this does not enhance patient care c. Take laboratory findings for development for use with patients at the bedside d. Use clinical research findings to ask new questions for research in the laboratory e. Discover practical applications for scientific theories and laws.
Dr. Mark is asked to explain the mechanism of adsorbent drugs when they are used in the treatment of simple diarrhea. Which of the following statements should Mark choose?
A. The adsorbents act on the stool to permit water to penetrate the fecal mass. The oily nature of these laxatives eases the passage of the stool through the rectum. B. The adsorbents remain in the intestine, soak up water, and expand. The water, which is retained, softens the stool, and the swelling action distends the rectum and initiates defecation. C. The adsorbents are a mixture of sodium and magnesium salts. These ions attract water, which causes a more liquid stool to be formed. D. The adsorbents work in the intestine to form a complex with irritating substances such as bacteria, digestive enzymes, or toxins and carry them into the feces for elimination.
The nurse administers the intramuscular medication of iron by the Z-track method. The medication was administered by this method to:
A. Provide faster absorption of the medication B. Reduce discomfort from the needle C. Provide more even absorption of the drug D. Prevent the drug from irritating sensitive tissue