A patient on antiulcer therapy complains of reduced libido and impotence. The nurse identifies a knowledge deficit in the patient. During teaching, the nurse informs the patient that _______ has been shown to cause reduced libido and impotence

a. nizatidine (Axid)
b. cimetidine (Tagamet)
c. ranitidine (Zantac)
d. famotidine (Pepcid)


B
Cimetidine binds to androgen receptors, causing receptor blockade, which results in gynecomas-tia, reduced libido, and impotence.
Nizatidine, ranitidine, and famotidine do not bind to androgen receptors and therefore do not affect the libido or cause impotence.

Nursing

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A patient with a simple arm fracture is receiving discharge education from the nurse. What would the nurse instruct the patient to do?

A) Elevate the affected extremity to shoulder level when at rest. B) Engage in exercises that strengthen the unaffected muscles. C) Apply topical anesthetics to accessible skin surfaces as needed. D) Avoid using analgesics so that further damage is not masked.

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The definition of chronic conditions can be complex. Which factor(s) would you expect to be included in the definition of chronic conditions? (Mark all that apply.)

A) Diseases that resolve spontaneously B) Diseases where complete cures are rare C) Diseases that have a short course D) Diseases that do not resolve spontaneously E) Diseases that have a prolonged course

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The patient is on day 3 of hospitalization in the ICU

The 45-year-old patient was admitted with a diagnosis of acute MI. The patient complains of fatigue, not sleeping the past two nights, and change in appetite. The nurse is aware that these are symptoms of a. angina. b. anxiety. c. depression. d. endocarditis.

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Biotransformation is also called:

a. metabolism c. excretion b. absorption d. anabolism

Nursing