The nurse provides teaching for a patient who will begin taking bosentan [Tracleer] for pulmonary arterial hypertension (PAH). Which statement by the patient indicates a need for fur-ther teaching about this medication?

a. "I may take this medication with or with-out food."
b. "I may develop irreversible liver damage while taking this drug."
c. "I should not take cyclosporine while tak-ing this medication."
d. "I will need to have lab tests every month while taking this drug."


B
Liver injury may occur with bosentan but all cases to date have been reversible. The medication may be taken without regard to meals. Patients taking bosentan should not take cyclosporine concurrently. Patients will need to have liver enzymes measured monthly while taking the drug.

Nursing

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The nurse is checking on the patient after administering pain medication 30 minutes previously. Which assessment finding best indicates to the nurse that the pain medication was effective?

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What is the function of the spleen?

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The pediatric nurse is caring for a child with viral conjunctivitis. Which of the following is important information to discuss with the parents and child?

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A patient experiencing transient ischemic attacks (TIAs) is scheduled for a carotid endarterectomy. The nurse explains that this procedure will be done to:

A) Decrease cerebral edema B) Prevent seizure activity that is common following a TIA C) Prevent a stroke by removing atherosclerotic plaques blocking cerebral flow D) Determine the cause of the TIA

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