A patient's genetic testing reveals a change in CYP2A6. The nurse would plan which interventions based on this discovery? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. Teaching the patient to avoid caffeine-containing drugs.
2. Planning additional time and interventions to help the patient stop smoking.
3. Use of an alternative to the drug warfarin.
4. Increased surveillance for the development of lung cancer.
5. Frequent monitoring of blood pressure.
2,4
Rationale 1: CYP2A6 is not associated with caffeine.
Rationale 2: CYP2A6 reduction may make smoking cessation more difficult.
Rationale 3:.CYP2C9 is associated with reduced metabolism of warfarin.
Rationale 4: CYP2A6 reduction may increase risk of lung cancer.
Rationale 5: CYP2A6 is not associated with blood pressure level.
Global Rationale: CYP2A6 reduction may make smoking cessation more difficult and increases risk of lung cancer. It is not associated with caffeine or blood pressure level. CYP2C9 is associated with reduced metabolism of warfarin.
You might also like to view...
The nurse monitors fetal heart rate during labor and finds a heart rate of 100 beats per minute during contractions increasing to 128 beats between contractions. The nurse's best action is to:
1. Accept fetal heart rate as normal. 2. Notify the primary RN. 3. Have the client lie on the right side to increase fetal blood supply. 4. Have the client lie on her back with the head of the bed elevated.
How might the nurse demonstrate the parachute reflex with an infant?
a. Lifting the infant high in the air above her head b. Holding the infant in a football hold, cradling the head c. Seating the infant in a stroller in an upright position d. Thrusting the infant downward into the crib
The nurse is preparing to give a client a sublingual medication. What amount of water should be given for proper administration?
a. none c. 1 ounce b. 15 minims d. half a glass
The nurse is planning an education session for couples planning to conceive. What should the nurse include to support the 2020 National Health Goals? (Select all that apply.)
A) Highlight the importance of good nutrition. B) Include health promotion activities for both men and women. C) Stress the importance of having coitus every day while trying to conceive. D) Remind about safe sex practices to reduce sexually transmitted infections. E) Explain that conception rarely occurs in couples during the first year of trying.