The nurse is administering medications to a patient who is receiving cyclosporine (Sandimmune). Which medication, when administered concurrently with cyclosporine, would warrant a reduction in the dosage of cyclosporine?
a. Phenytoin (Dilantin)
b. Prednisone
c. Ketoconazole (Nizoral)
d. Trimethoprim/sulfamethoxazole (Bactrim)
C
Use of ketoconazole would warrant a reduction in the dosage of cyclosporine. Ketoconazole of-ten is given concurrently with cyclosporine so that the patient's dosage of cyclosporine, which is costly, can be reduced.
Phenytoin would cause a decrease in the medication.
Prednisone often is given concurrently with cyclosporine to suppress the immune response.
Trimethoprim/sulfamethoxazole reduces levels of cyclosporine in the body.
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Which action should the nurse take to ensure that a client's blood pressure is accurately measured? (Select all that apply.)
1. Place the cuff bladder over the artery. 2. Measure the blood pressure on both arms. 3. Use a cuff that is 40% of the arm circumference. 4. Deflate the cuff at the rate of 2 to 3 mm Hg per second. 5. Note the diastolic reading when the first tapping sound is heard.
A nurse is employed as a medical information system (MIS) trainer at a hospital where a new computerized record system is being installed
According to the Security Rule of HIPAA, which of the following should be implemented to help ensure the security of client records? 1. Give each unit unique passwords. 2. Install a firewall. 3. Store computer-generated materials in a locked vault. 4. Turn monitors away from view when unattended.
The community health nurse is taking care of a client with a minor traumatic brain injury resulting from an automobile accident. The client developed pneumonia and is on IV antibiotics at home. Which level of prevention does this address?
A) Primary B) Secondary C) Tertiary D) Chronic care
The nurse is caring for a child with carbon monoxide poisoning associated with smoke inhalation. Which is essential in this child's care?
a. Monitor pulse oximetry. b. Monitor arterial blood gases. c. Administer oxygen if respiratory distress develops. d. Administer oxygen if child's lips become bright, cherry red.