The nurse is reinforcing discharge teaching provided to a patient taking antirejection medication following a heart transplant. Which beverage should the nurse instruct the patient to avoid?
a. Milk
b. Tomato juice
c. Cranberry juice
d. Grapefruit juice
ANS: D
Grapefruit juice may cause elevated levels of the drug and should not be taken. A. B. C. There is no reason for the patient to avoid drinking milk, tomato juice, or cranberry juice.
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A patient is diagnosed with otosclerosis. What inner ear structure will be affected?
A) Malleus B) Stapes C) Incus D) Tympanic membrane
The patient is exhibiting some addictive behaviors and has admitted to using illegal drugs. Which patient statements are consistent with addictive behaviors?
Select all that apply. 1. "I think even as a child I was much more anxious than my friends." 2. "When I was in the hospital for appendicitis, they told me they had to give me more pain medications than normal because I was still in pain." 3. "Sometimes I steal things from stores just to see if I can get away with it." 4. "I like to play it safe. When my friends were bungee jumping off the bridge, I just watched." 5. "I have always been very slow to anger."
When administering medications the client states: "I've never taken this pill before. I really am not comfortable taking it." The best response of the nurse would be:
A) "Let me check the physician's order and verify it is the correct medication." B) "It is probably a generic formulation of the drug and it doesn't look like the medication you are familiar with taking." C) "It is okay if you are not comfortable taking the medication. You have a right to refuse." D) "The physician probably added a new medication to your regimen."
Commonly used medications for BPH are 5-alpha -reductase inhibitors, such as finasteride
(Proscar), and alpha-blocking drugs, such as tamsulosin (Flomax). How do these drugs differ? What will be an ideal response?