A nurse is reviewing a patient's medications and realizes that gemfibrozil [Lopid] and warfarin [Coumadin] are to be administered concomitantly. Which effect will the nurse anticipate in this patient?
a. Increased levels of gemfibrozil
b. Decreased levels of gemfibrozil
c. Increased anticoagulant effects
d. Reduced anticoagulant effects
C
Gemfibrozil displaces warfarin from the plasma albumin, thereby increasing anticoagulant effects. The level of gemfibrozil will not be increased or decreased. The anticoagulation effects will not be reduced, because free-floating drug is present in the system; the dosage of warfarin may have to be reduced.
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A nurse is teaching the staff about the characteristics of a profession. Which information should the nurse include? (Select all that apply.)
a. Extended education b. Theoretical body of knowledge c. Code of ethics for practice d. Practice developments e. Provision of a specific service
A frail, elderly man is admitted to the hospital after a fall at home resulted in a left hip fracture. After surgery, he is to begin ambulating with a walker but must avoid weight bearing on his left lower leg
What is the best intervention to help him use his walker? a. Aerobic exercise with deep breathing b. Quadriceps and gluteal repetitions c. Isometric toning of lower legs d. Arm resistance training
A client with multiple myeloma has been started on filgrastin (Neupogen) for treatment of neutropenia. The nurse identifies the drug is being effective when:
A) the client no longer has bone pain. B) the hemoglobin level is within normal limits. C) an increase in the white blood cell count occurs. D) the client is no longer hypotensive.
Select the primary reason why the preferred route of administration for the corticosteroids in the treatment of chronic asthma and COPD is oral inhalation with metered-dose inhalers.
A. The advantage of inhalation is that it prevents sleep disorders and suicidal ideation. B. The advantage of inhalation is that lower dosages of steroid are delivered directly into the respiratory tract, therefore limiting systemic absorption and the adverse effects associated with steroid use. C. The advantage of inhalation is that it prevents the abnormal increase in liver enzymes and the development of fever, dark urine, clay-colored stools, or jaundice. D. None of these are correct.