httpsclasswaldenueduwebappsassessmentreviewreviewjspattemptid444683471courseid16

httpsclasswaldenueduwebappsassessmentreviewreviewjspattemptid444683471courseid16

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; 7/7 Monday, December 26, 2016 12:49:18 PM EST following? Response Feedback: Long­term phenytoin therapy is associated with folate deficiency. Folic acid and phenytoin are structurally similar and thought to compete with each other for the same receptors. A deficiency in folic acid in a pregnant woman can cause birth defects. Potassium, iron, and vitamin C do not compete with phenytoin nor are they directly affected by phenytoin. Question 27 A 26­year­old professional began using cocaine recreationally several months ago and has begun using the drug on a daily basis over the past few weeks. He has noticed that he now needs to take larger doses of cocaine in order to enjoy the same high that he used to experience when he first used the drug. A nurse should recognize that this pattern exemplifies Response Feedback: With drug use over time, tolerance develops. Tolerance occurs when the body develops a natural resistance to the drug's physical or euphoric effects, making it necessary to take increasing doses more frequently to achieve the desired effect. Question 28 A patient has been prescribed zolpidem (Ambien) for short­term treatment of insomnia. Which of the following will the nurse include in a teaching plan for this patient? (Select all that apply.) Response Feedback: Zolpidem generally is not used for more than 7 to 10 days at a time. It induces sleep rapidly and should be taken immediately before going to bed. It is true that the drug does not seem to produce residual effects the next morning or cause prolonged rebound effects when it is discontinued. It is available in both quick­onset and continuous­release oral forms, and common adverse effects of the drug are headache, prolonged drowsiness, and dizziness. Question 29 A 62­year­old woman has been prescribed a fentanyl transdermal patch for chronic cancer pain. The patient asks the nurse how long it will take for her to experience pain relief. The nurse will instruct the patient that she should feel pain relief in approximately Response Feedback: The nurse will instruct the patient that it will take approximately 24 hours for the full pain­relieving effect of a fentanyl transdermal patch to occur. Question 30 The wife of a patient who is taking haloperidol calls the clinic and reports that her husband has taken the first dose of the drug and it is not having a therapeutic effect. An appropriate response by the nurse would be Response Feedback: The nurse should instruct the wife to continue offering her husband the drug and that it will probably take several days to reach its full therapeutic effect. The dosage would not be increased, decreased, or discontinued. OK 1 out of 1 points 0 out of 1 points 1 out of 1 points 1 out of 1 points
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  • Fall '13
  • 142857, Review Test Submission, Phenytoin, Lorazepam

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