A patient should not take cimetidine within 2 hours of taking cobalamin to treat his or her anemia because:
A. cimetidine decreases gastric acid so that cobalamin cannot combine with available gastric intrinsic factor, impairing but not totally inhibiting the absorption of cobalamin.
B. cimetidine suppresses the bone marrow and interferes with red blood cell maturation so that cobalamin cannot function in these cells.
C. cimetidine stops the production of gastric acid so that cobalamin cannot combine with available gastric intrinsic factor, totally inhibiting the absorption of cobalamin.
D. None of these are correct.
Answer: A
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Select all that apply. A) "It helps prevent the side effects of antibiotics." B) "It increases stomach acid to help kill bacteria." C) "It helps relieve ulcer-related constipation." D) "It is effective with inhibiting bacterial growth." E) "It keeps bacteria from sticking in your stomach."
A patient asks about his laboratory test, which showed a high level of thyroid-stimulating hormone (TSH) and a low level of T4 . What is the most accurate explanation?
a. "It means that you have an inconsistency in your thyroid tests, and you will need more testing." b. "I am sorry. You will have to ask your physician about your laboratory results. We are not allowed to discuss them." c. "The TSH is sending a message to your thyroid gland to increase production, but your thyroid isn't producing enough hor-mone." d. "That means that you will have to go on hormone therapy for the rest of your life."
The nurse is assigned to care for a client with cirrhosis of the liver. The nurse recognizes the client's impaired liver function will affect:
A) metabolism of drugs. B) formation of hydrochloric acid. C) production of digestive enzymes. D) formation of red blood cells.
Intrauterine growth restriction is associated with what pregnancy-related risk factors? (Choose all that apply.)
1. Poor nutrition 2. Maternal collagen disease 3. Gestational hypertension 4. Premature rupture of membranes 5. Smoking