A patient who is being started on drug therapy with gemfibrozil (Lopid) is also receiving oral an-ticoagulant therapy with warfarin (Coumadin). Which of the following statements describes the effect of gemfibrozil on anticoagulant therapy?
a. It is likely to decrease the anticoagulant effect.
b. It is likely to increase the anticoagulant effect.
c. Its use is contraindicated if the patient is being anticoagulated.
d. It has no effect on the action of the anticoagulant.
ANS: B
The action of warfarin is enhanced in the presence of gemfibrozil and fenofibrate.
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An IV solution originally scheduled to flow at a rate of 60 mL/hr is behind schedule. The drop factor for the IV tubing is 60 gtt/mL. Agency policy allows a 25% increase in the base rate if there are no contraindications
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a. at the beginning of the second stage b. at the end of the active phase c. during the latter part of the second stage d. during transition
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