The patient has chronic obstructive pulmonary disease and has been placed on lansoprazole (Prevacid). The health care provider can expect to see elevated levels of which medication if it is given concurrently with lansoprazole?
a. Clonidine
b. Theophylline
c. Ciprofloxacin
d. Acetaminophen
ANS: B
Serum levels of theophylline may be elevated in the presence of lansoprazole. Proton pump inhib-itors inhibit the biotransformation of oral anticoagulants, diazepam, theophylline, and phenytoin, which leads to elevated serum levels of these drugs.
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Order: 2 g lidocaine in 500 mL D5W to infuse at 1 mg/min. Available: Vial that is labeled lidocaine 200 mg/mL. How many milliliters should be withdrawn from the vial and added to the IV bag? _____
a. 20 mL b. 10 mL c. 5 mL d. 200 mL
To help prevent aspiration while feeding a patient who has a right-sided paralysis, the nurse includes which interventions? (Select all that apply.)
a. Place the patient in high Fowler's position. b. Instruct the patient to tilt the head and neck forward. c. Instruct the patient to drink liquids through a straw. d. Place food in the left side of the mouth. e. Avoid mixing foods with different tex-tures.
A client is considering the mifepristone and misoprostol procedure for terminating a pregnancy. Which of the following items of information should be given to the client?
A) There are no side effects, such as bleeding or cramping. B) Codeine is contraindicated during this therapy. C) A minimum of three visits to the clinician is usually needed. D) Blood loss is typically less than 50 mL.
Underdelegation is not unusual for new nurses. Some examples of why this may occur are listed below. Which does not necessarily pertain to underdelegation by new nurses?
a. may seek approval from other staff members; hence try to do everything themselves b. unorganized or inclined to immerse them-selves in paperwork c. perfectionism and refusal to allow mistakes d. belief and refusal to allow mistakes