A patient who is prescribed gabapentin
(Neurontin) for seizures is also taking aluminum hydroxide (Amphojel) for indigestion. What should you caution the patient about taking these two drugs?
a. "Take the gabapentin 1 hour after the aluminum hydroxide."
b. "Schedule at least 2 hours between taking the gabapentin and the aluminum hydroxide."
c. "Take these two drugs together for the best action of both drugs to occur."
d. "You may need to take a different antacid to avoid affecting the action of gabapentin."
ANS: B
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A patient calls emergency services with complaints of crushing chest and left shoulder pain. He should be instructed to:
A) Take 325 mg acetaminophen. B) Take 325 mg of aspirin. C) Take an antacid. D) Drive to the ED.
An 18-year-old pregnant female comes to the free clinic and asks to be tested for HIV. Her test comes back positive. The patient asks the nurse if her baby is going to be born with HIV. What is the nurse's best response?
A) "There is no way to know that. We do know that your baby has a one in four chance of being born with HIV." B) "Your physician is the best one to ask that question." C) "If the baby is HIV positive there is nothing we can do about it until it is born, so there is no sense worrying about it now." D) "It is thought that most perinatal infections occur after exposure during delivery."
A client has been diagnosed with a somatoform disorder following a long history of contacts with the health care system. Within the context of Selye's general adaptation syndrome (GAS), what factors underlie the development of the client's diagnosis?
A) Abnormal or pathological family modeling that prioritizes the internalization of feelings B) A learned physiological response that causes the client to experience reward C) The inability of the body to restore homeostasis in response to a stressor D) An organic susceptibility to the development of a particular disease
For delivery, a client received a midline episiotomy, which extended into a third-degree laceration. What should the nurse include when explaining the location of the episiotomy to the client?
1. "Up near your urethra." 2. "Into the muscle layer." 3. "Through your rectal mucosa." 4. "Through your rectal sphincter."