A patient who has received a heart transplant is taking cyclosporine. The patient is found to have a systemic Aspergillus infection. What drug would the nurse question if ordered for this patient?
A) Terbinafine
B) Posaconazole
C) Itraconazole
D) Ketoconazole
D
Feedback:
Ketoconzaole and fluconazole strongly inhibit the cytochrome P450 (CYP450) enzyme system in the liver and is associated with many drug–drug interactions such as increased serum levels of the following agents: cyclosporine, digoxin, oral hypoglycemics, warfarin, oral anticoagulants, and phenytoin. There is no known drug interaction between cyclosporins and terbinafine, posaconazole, or itraconazole.
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Which is the most important patient outcome of nursing care implemented in response to his mental health status? a. Discusses how his coping mechanisms are overwhelmed b. Performs self-feedings through gastrostomy tube daily c. Uses nonverbal forms of communication effectively d. Exhibits self-confidence in regaining sense of control
The nurse is delegating the performance of passive range of motion to the unlicensed assistive personnel (UAP). For which client would it not be appropriate to delegate this task to the UAP?
1. Client who has been a quadriplegic for 3 years 2. Unconscious client following excision of a brain tumor 2 days ago 3. Client in rehabilitation center recovering from a CVA 4. Client in a chronic vegetative state following a motor vehicle crash
What actions of the nurse prevent infections in the labor and delivery area?
a. Performing vaginal examinations every hour while the woman is in active labor b. Using clean techniques for all procedures c. Cleaning secretions from the vaginal area by using back-to-front motion d. Keeping underpads and linens as dry as possible
A patient has a gastrostomy tube that has been placed to drain stomach contents by low intermittent suction. What is the nurse's priority during this aspect of the patient's care?
A) Measure and record drainage. B) Monitor drainage for change in color. C) Titrate the suction every hour. D) Feed the patient via the G tube as ordered.