The nurse performs a medication history on a patient who will begin targeted therapy for cancer with gefitinib (Iressa). The nurse learns that the patient is taking carbamazepine, a histamine2 blocker, and warfarin
The nurse will anticipate that the provider will make which change to the medication regimen?
a. decrease the gefitinib dose.
b. decrease the warfarin dose.
c. increase the histamine2 blocker dose.
d. increase the carbamazepine dose.
ANS: B
When patients taking warfarin take gefitinib, the effectiveness of the warfarin is greatly increased, and bleeding risks increase. Carbamazepine and histamine2 blockers decrease the effectiveness of gefitinib, so decreasing the gefitinib dose or decreasing the carbamazapine or histamine2 blocker is not recommended.
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The elderly spouse of a female Alzheimer's client states that his wife seems to wander aimlessly from room to room looking for things in incorrect places, such as kitchen utensils in the bedroom and laundry detergent in the kitchen
He asks the nurse for suggestions of what he can do to help her. What is the nurse's best response? a. "Keep rooms well lit." b. "Keep the home environment simple and user-friendly for her." c. "Have clocks and calendars with large letters in several rooms of the house." d. "Place large signs on doors or entryways that identify the room."
Which of the following is the strongest argument in favor of historical research in nursing?
a. All professions are characterized by knowledge of the history. b. It is a method well suited to nurse researchers. c. Nurses need to know their roots. d. There needs to be a historical base on which to build.
An elderly client has mild dementia and the nurse feels the client may be in pain. The best way for the nurse to assess this client for pain is by
a. asking direct questions about pain. b. changing the way the nurse phrases the questions. c. having the client rate pain with a 1-10 scale. d. using the FACES pain scale.
Which of the following unique aspects of home care do Medicare reimbursement regulations require that the nurse include in documentation?
a. Patient assessment data and interventions performed b. Patient response to care and assessment of environment c. Evidence of homebound status and continued need for skilled care d. Skilled care delivered and communication with other providers