The nurse is preparing to administer erythromycin to a patient who takes digoxin. The nurse will plan to monitor the patient for

a. digoxin toxicity.
b. decreased digoxin effects.
c. erythromycin toxicity.
d. decreased erythromycin effects.


ANS: A
Intestinal flora have the ability to metabolize digoxin, and any drug that destroys or inhibits growth of these gastrointestinal microflora can increase digoxin levels leading to toxicity.

Nursing

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A patient hospitalized for treatment of a severe urinary tract infection may be developing septic shock. The nurse would monitor for the development of which finding associated with early septic shock?

1. Cold extremities 2. Increase in serum lactate levels 3. Decreased SCVO2 4. Widening of pulse pressure

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"Hallucinations" are false sensory perceptions, which occur:

A) As a result of conflict B) Without external stimulus C) In schizophrenia only D) Due to ineffective parenting

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The nurse teaches the parents of an infant who recently was circumcised to observe for bleeding. What should the parents be taught to do if bleeding does occur?

1. Wrap the diaper tightly. 2. Clean with warm water with each diaper change. 3. Apply gentle pressure to the site with gauze. 4. Apply a new petroleum ointment gauze dressing.

Nursing

A community/public health nurse actively implements the recommendations from the Global Treaty on Tobacco Control. On the basis of this treaty, which of the following actions is the nurse most likely to perform?

a. Encouraging states to implement smoking bans b. Supporting a global ban on tobacco advertisements to youth c. Lobbying to make the production of tobacco products illegal d. Suggesting an increase in cigarette taxes across the world

Nursing