A 70-year-old patient is newly admitted to a skilled nursing facility with the diagnoses of Alzheimer's dementia, lipidemia, and hypertension, and a history of pulmonary embolism
Medications brought on admission included lisinopril, hydrochlorothiazide, warfarin, low-dose aspirin, ginkgo biloba, and echinacea. The nurse contacts the patient's medical provider over which potential drug-drug interaction? a. Lisinopril and echinacea
b. Warfarin and ginkgo biloba
c. Echinacea and warfarin
d. Lisinopril and hydrochlorothiazide
B
Warfarin and blood thinners interact with ginkgo biloba as designed to improve memory. All herbal supplements should be evaluated with current pharmacological medications. The other options do not have drug interactions with each other.
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After identifying problems and etiologies and prior to writing a nursing diagnosis statement, the nurse would:
a. Verify the nursing diagnosis with the patient b. Verify information with the primary care provider c. Check the medical diagnosis for consistency in treatments d. Review the data and the diagnosis with another nurse
A patient who has recurrent migraine headaches is prescribed sumatriptan [Imitrex]. Which aspect of this patient's history is of concern when taking this drug?
a. Asthma b. Coronary artery disease c. Diabetes d. Renal disease
Which one of the following teaching activities would most likely be implemented by an occupational health nurse?
A) Safe sex B) Infection control C) Cardiopulmonary resuscitation D) The need for immunizations
The family of an unconscious, terminally ill client cannot come to a decision about requesting a "do-not-resuscitate" order. Two of the children want the order, but one child and the client's sister do not agree
Several heated arguments have occurred in the hall outside the client's room. Efforts to educate the family and mediate in arguments have not helped. What action should the nurse take? 1. Ban the family from the room until they can be polite to each other in front of the client. 2. Have the chaplain attempt mediation. 3. Notify the institutional ethics committee. 4. Talk with each of the children and the client's sister separately in an attempt to understand the conflict.