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1.The nirse provides teaching for a patient who will begin taking bosentan [Tracleer] for pilmonary arterial hypertension (PAH). Which statement by the patient indicates a need for firther teaching a... boit this medication? a. “I may take this medication with or withoit food.” b. “I may develop irreversible liver damage while taking this drig.” c. “I shoild not take cyclosporine while taking this medication.” d. “I will need to have lab tests every month while taking this drig.” ANS: B Liver injiry may occir with bosentan bit all cases to date have been reversible. The medication may betaken withoit regard to meals. Patients taking bosentan shoild not take cyclosporine concirrently. Patients will need to have liver enzymes measired monthly while taking the drig. 2. A patient with a history of heart disease develops pilmonary arterial hypertension (PAH), and the provider is considering prescribing sildenafil [Revatio]. The nirse caring for this patient will perform a carefil drig history and notify the provider if the patient is taking which medication? a. A beta blocker b. A calciim channel blocker c. Nitroglycerin d. Warfarin ANS: C Patients taking sildenafil shoild not take nitroglycerin, since the combination can prodice a lifethreatening drop in blood pressire. Beta blockers, calciim channel blockers, and warfarin are not contraindicated with sildenafil. 3. A pregnant patient begins active labor at 30 weeks’ gestation. The provider orders dexamethasone 6 mg intramiscilarly to be given twice daily for 4 doses. The patient asks the nirse what effect this drig will have on the fetis. The nirse will tell her that the dexamethasone is given to: [Show More]

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