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lauracecii93 lauracecii93
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Posts: 369
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6 years ago
A client is receiving an antihypertensive and a diuretic medication. Since these two medications will have a synergistic effect, the nurse can expect that the client will have:
 
  1. a decrease in blood pressure.
  2. signs of dehydration.
  3. a decrease in heart rate.
  4. an increase in urinary output.

Question 2

The nurse is caring for a client who has had a temperature of 38.8 C for the past 24 hours. When medicating the client for pain, the nurse should be aware that:
 
  1. the analgesic should be given by a parenteral route.
  2. the analgesic effect could be shortened.
  3. absorption of the drug will be reduced.
  4. elimination of the drug could be prolonged.

Question 3

The nurse administers a drug with a half-life of 12 hours. To maintain a steady state of the drug, the nurse recognizes that the medication will need to be administered every:
 
  1. 4 hours.
  2. 6 hours.
  3. 12 hours.
  4. 24 hours.

Question 4

While providing medications the nurse notes that a client has just consumed 8 ounces of milk. Which medication should the nurse withhold from administering?
 
  1. Calcium channel blocker
  2. Diuretic
  3. Aspirin
  4. Tetracycline antibiotic

Question 5

A client is being discharged on warfarin (Coumadin), an anticoagulant. To avoid food-drug interactions, the nurse should instruct the client to restrict which of the food?
 
  1. Dairy products
  2. Whole grains
  3. Citrus foods
  4. Green, leafy vegetables
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6 years ago
The answer to question 1

Answer: 1

1. Synergism occurs when two drugs have a greater response than if each drug would be given separately. The combined effect of both drugs will lower the blood pressure.
2. Diuretic action alone could cause some dehydration.
3. A decrease in heart rate could be seen with some types of antihypertensive agents.
4. Diuretic action alone will increase urinary output.

The answer to question 2

Answer: 2

1. The analgesic does not need to be given by a parenteral route.
2. Fever increases metabolism of drugs, resulting in a shorter duration of action and faster elimination.
3. Absorption isn't affected by the fever.
4. Elimination isn't affected by the fever.

The answer to question 3

Answer: 3

1. After 12 hours, 50 of the drug will have been metabolized. Four hours would be too soon to provide another dose of this medication.
2. After 12 hours, 50 of the drug will have been metabolized. Six hours would be too soon to provide another dose of this medication.
3. After 12 hours, 50 of the drug will have been metabolized, and the drug will need to be given again in order to maintain a steady blood level of drug.
4. After 12 hours, 50 of the drug will have been metabolized. Another dose should be provided before 24 hours.

The answer to question 4

Answer: 4

1. Milk does not interact with calcium channel blockers.
2. Milk does not interact with diuretics.
3. Milk does not interact with aspirin.
4. The calcium in antacids and dairy products reduces the absorption of Tetracyclines.

The answer to question 5

Answer: 4

1. Dairy products do not interact with warfarin (Coumadin).
2. Whole grains do not interact with warfarin (Coumadin).
3. Citrus foods do not interact with warfarin (Coumadin).
4. The vitamin K found in green, leafy vegetables can interfere with the clotting cascade and prolong bleeding time, thereby enhancing the anticoagulant effect.
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