The nurse is administering medications to a patient who is receiving cyclosporine [Sandimmune]. Which medication, when administered concurrently with cyclosporine, would warrant a reduc-tion in the dosage of cyclosporine?
a. Phenytoin [Dilantin]
b. Prednisone
c. Ketoconazole [Nizoral]
d. Trimethoprim/sulfamethoxazole [Bactrim]
C
Concurrent use of ketoconazole would warrant a reduction in the dosage of cyclosporine. Keto-conazole often is given concurrently with cyclosporine so that the patient's dosage of cyclospo-rine, which is costly, can be reduced. Phenytoin would cause a decrease in cyclosporine levels. Prednisone often is given concurrently with cyclosporine to suppress the immune response. Tri-methoprim/sulfamethoxazole reduces levels of cyclosporine in the body.
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A nurse has begun creating a patient's plan of care shortly after the patient's admission. It is important that the wording of the chosen nursing diagnoses falls within the taxonomy of nursing
Which organization is responsible for developing the taxonomy of a nursing diagnosis? A) American Nurses Association (ANA) B) NANDA C) National League for Nursing (NLN) D) Joint Commission
The family of a victim of a gunshot wound is asking emergency department personnel if they could find out the status of their family member. Which action by the nurse is appropriate?
A) Suggest they go to the cafeteria to get something to eat or drink. B) Suggest they return home, and the hospital will phone them with any information. C) Contact social services or the hospital chaplain to provide support while they wait. D) Escort the family to see the client.
Of the following client health problems, the nurse realizes the client who is least likely to develop negative nitrogen balance would be the client:
a. with severe burns. b. recovering from an appendectomy. c. with a high fever. d. confined to bed due to severe rheumatoid arthritis.
A client who is 38 weeks pregnant reports she has been experiencing urinary frequency. Which response by the nurse is indicated?
1. "Your reports are consistent with a urinary tract infection.". 2. "I will need to check your blood sugar as excessive urination is associated with gestational diabetes.". 3. "Reducing your fluid intake will be helpful to manage this problem.". 4. "This is normal occurrence in the later stages of pregnancy.".