Fluconazole may decrease the effectiveness of oral contraceptives. Taking an antiemetic or antidiarrheal for adverse GI effects would be an appropriate instruction for this drug. The nurse should also instruct the patient to take aspirin instead of acetaminophen for relief of minor discomforts because acetaminophen has the potential to damage the liver and kidneys. Taking the drug with food is recommended if the patient experiences GI distress. All of these instructions are important, but not as important as making sure that the patientdoes not inadvertently become pregnant while on the medication.Question 37
1 out of 1 pointsA patient has acquired primary hypogonadism and has been prescribed testosterone transdermal (Androderm) patches. When educating the patient on how to administer the drug, the nurse will instruct him toResponse Feedback:The patient should place the patch on the back, abdomen, upper arms, or thighs. He should not place it on the scrotum or on bony areas such as the shoulder or the hip. The skin area should not be oily, damaged, or irritated. The patch should stayin place for 7 days before replacement.Question 381 out of 1 pointsA woman who is in the second trimester of her first pregnancy has been experiencing frequent headaches and has sought advice from her nurse practitioner about safe treatment options. What analgesic can the nurse most safely recommend?Response Feedback:Acetaminophen is the analgesic of choice during pregnancy.Question 391 out of 1 pointsA 51-year-old female patient has been receiving doxorubicin (Adriamycin) for metastatic breast cancer. Her medical record indicates she has cardiomyopathy and a cumulative dose of 300 mg/m2of doxorubicin. Which of the following measures would help limit the severity of the cardiomyopathy in this patient?Response Feedback:Dexrazoxane, a cardioprotectant, is recommended to reduce the severity and incidence of cardiomyopathy associated with doxorubicin for women with metastatic breast cancer who received a cumulative dose of 300 mg/m2. Meticulous monitoring or multiplying daily doses would not reduce the severity and incidence of cardiomyopathy as effectively as using dexrazoxane, and reducing the dosage is not advisable.Question 401 out of 1 pointsThe nurse has established peripheral IV access and begun an infusion of magnesium sulfate on a 29-year-old antepartum patient who is 35 weeks pregnant. Which of the following assessment findings most likely prompted the patient's physician to order magnesium sulfate for this patient?Response Feedback:Magnesium sulfate is used frequently for treating or preventing seizures associated with pre-eclampsia, eclampsia, and pregnancy-induced hypertension. Its effectiveness in preventing seizures in eclampsia is well accepted and
documented. Impaired oxygenation, changes in LOC, and ECG changes are not indications for the administration of magnesium sulfate in the pregnant patient.Tuesday, August 8, 2017 1:54:33 AM EDT
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