The client is being treated with cimetidine as well as with Coumadin. The nurse anticipates that the action of the two drugs will produce a(n) _____ in the level of _____
a. increase; cimetidine
b. decrease; cimetidine
c. increase; Coumadin
d. decrease; Coumadin
ANS: C
The combination of the two drugs can produce an increase in the level of oral anticoagulants.
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On two recent occasions, the experienced nurse manager has found it nearly impossible to discuss upcoming events with all the staff on the unit. What is a common reason for this problem?
1. The hospital is experiencing a nursing shortage, so staff members are very busy. 2. The client mix on the unit is much more varied. 3. The unit has just adopted combined staffing patterns. 4. There is a 1-hour overlap of staff between shifts.
The nurse is instructing a client with a history of acidosis on the use of sodium bicarbonate. Which client statement indicates that additional teaching is needed?
A) "I should contact the doctor if I have any gastric discomfort with chest pain." B) "I need to purchase antacids without salt." C) "I should use the antacid for at least 2 months." D) "I should call the doctor if I get short of breath or start to sweat with this medication."
Skin turgor checks are performed to determine the:
a. temperature of the skin. b. hydration status. c. actual age. d. extent of an ecchymosis.
While in the postanesthesia care unit, a patient recovering from spinal surgery tells the nurse that he cannot feel his right hand and that his right shoulder is painful. The nurse's initial concern is in regard to which complication?
1. Thromboembolism in the brachial artery 2. Residual effects of spinal anesthesia 3. Infiltrated intravenous access site 4. Brachial plexus nerve injury