Author Question: The nurse is caring for a patient diagnosed with human immunodeficiency virus (HIV) and newly ... (Read 62 times)

Charlie · **on:** Jul 23, 2018

The nurse is caring for a patient diagnosed with human immunodeficiency virus (HIV) and newly diagnosed angina. What drug would the nurse question if ordered?

A) Ranolazine (Ranexa)
B) Nitroglycerin (generic)
C) Propranolol
D) Diltiazem

Question 2

The nurse is teaching a class for his or her peers about glucocorticoids. What will the nurse say is initially blocked, resulting in the drug's anti-inflammatory action?

A) Arachidonic acid
B) Phagocytes
C) Lymphocytes
D) Antibodies

rekilledagain · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A
Feedback:
Drugdrug interactions can occur with ketoconazole, diltiazem, verapamil, macrolide antibiotics, and HIV protease inhibitors; these combinations should be avoided because ranolazine levels may become extremely high. The nurse should get a complete list of current medications and consult with the health care provider regarding drug interactions before administering the medication as ordered. Nitroglycerin, propranolol, and diltiazem have no contraindication with medications used to treat HIV.

Answer to Question 2

A
Feedback:
Glucocorticoids block the actions of arachidonic acid, which leads to a decrease in the formation of prostaglandins and leukotrienes. They also impair the ability of phagocytes to leave the bloodstream and move to injured tissues; they inhibit the ability of lymphocytes to act within the immune system, including blocking the production of antibodies. Blocking arachidonic acid is, however, the initial action.