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The health care provider prescribes carbamazepine for a child whose tonic-clonic seizures have been poorly controlled. The nurse informs the mother that the child must have blood tests every week. The mother asks why so many blood tests are necessary. Which complication is assessed through frequent laboratory testing that the nurse should explain to this mother? - ANSWER>>Myelosuppression Rationale: Myelosuppression isthe highest priority complication that can potentially affect clients managed with carbamazepine therapy. The client requires close monitoring for this condition by weekly laboratory testing. Hepatic function may be altered, but this complication does not have as great a potential for occurrence as Myelosupression A client is prescribed a cholinesterase inhibitor, and a family member asks the nurse how this medication works. Which pharmacophysiologic explanation should the nurse use to describe this class of drug? - ANSWER>>Improves nerve impulse transmission Rationale: Cholinesterase inhibitors work to increase the availability of acetylcholine at cholinergic synapses, which aids in neuronal transmission and assists in memory formation. A client is ordered 22 mg of gentamicin by IM injection. The drug is available in 20 mg/2 mL. How many milliliters should be administered? - ANSWER>>2.2 mL Rationale: (22 mg/20 mg) × (x mL/2 mL) = 22x = 40 x = 2.2 mL In addition to nitrate therapy, a client is receiving nifedipine, 10 mg PO every 6 hours. The nurse should plan to observe for which common side effect of this treatment regimen? - ANSWER>>Hypotension Rationale: Nifedipine reduces peripheral vascular resistance and nitrates produce vasodilation,so concurrent use of nitrates with nifedipine can cause hypotension with the initial administration of these agents. Which response best supports the observations that the nurse identifies in a client who is experiencing a placebo effect

The health care provider prescribes carbamazepine for a child whose tonic-clonic seizures have been poorly controlled. The nurse informs the mother that the child must have blood tests every week. The mother asks why so many blood tests are necessary. Which complication is assessed through frequent laboratory testing that the nurse should explain to this mother? - ANSWER>>Myelosuppression Rationale: Myelosuppression isthe highest priority complication that can potentially affect clients managed with carbamazepine therapy. The client requires close monitoring for this condition by weekly laboratory testing. Hepatic function may be altered, but this complication does not have as great a potential for occurrence as Myelosupression A client is prescribed a cholinesterase inhibitor, and a family member asks the nurse how this medication works. Which pharmacophysiologic explanation should the nurse use to describe this class of drug? - ANSWER>>Improves nerve impulse transmission Rationale: Cholinesterase inhibitors work to increase the availability of acetylcholine at cholinergic synapses, which aids in neuronal transmission and assists in memory formation. A client is ordered 22 mg of gentamicin by IM injection. The drug is available in 20 mg/2 mL. How many milliliters should be administered? - ANSWER>>2.2 mL Rationale: (22 mg/20 mg) × (x mL/2 mL) = 22x = 40 x = 2.2 mL In addition to nitrate therapy, a client is receiving nifedipine, 10 mg PO every 6 hours. The nurse should plan to observe for which common side effect of this treatment regimen? - ANSWER>>Hypotension Rationale: Nifedipine reduces peripheral vascular resistance and nitrates produce vasodilation,so concurrent use of nitrates with nifedipine can cause hypotension with the initial administration of these agents. Which response best supports the observations that the nurse identifies in a client who is experiencing a placebo effect

A 35 year old female patient is seen in the clinic complaining of abdominal pain. Which of the following should be included in the history and physical - ANSWER>>nature of the pain, timing of the pain, palliative and provocative aspects, associated symptoms (n/v).
A patient comes to the office complaining of constipation. The patient lists all of the following medications. Which drug could be responsible for the contipation - ANSWER>>Pepto-Bismol
A patient is seen with complaints of diarrhea. Which of the following should be included in the patient's differential diagnosis? - ANSWER>>frequency, amount and fluidity, color and characteristics. Diet history, recent travel, medication use, source of drinking water
A 29 year old Englishman is seen in the office with complaints of pain in his chest and belly. He has been suffering the pain for 2 weeks and gets temporary relief from Alka-Seltzer. The burning wakes him at night and radiates up to his chest. Which factor favors a diagnosis of gastric ulcer - ANSWER>>His use of Alka Seltzer
Which of the following is most effective in diagnosing appendicitis - ANSWER>>History and physical
A 46-year-old patient is seen in the clinic with abdominal pain. Which of the following tests is essential for this patient? - ANSWER>>Urine human chorionic gonadotropin
. A 25-year-old accountant is seen in the clinic complaining of crampy abdominal pain after meals. She is often constipated and takes laxatives, which are followed by a couple of days of diarrhea. She temporarily feels better after a bowel movement. She states she is embarrassed by flatulence and has abdominal distension. She has had no weight loss or blood in her stool. This problem has gone on for about 6 months. What should the next step be? - ANSWER

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