Nokea
A client has a prescription for Trimethoprim-Sulfamethoxazole. Which of the following instructions should the nurse include?
- A. Take the medication with food.
- B. Increase fluid intake.
- C. Expect reddish-orange urine.
- D. Avoid high-protein foods.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You may also like to solve these questions
A client with deep vein thrombosis has been on heparin continuous infusion for 5 days. The provider prescribes warfarin PO without discontinuing the heparin. The client asks the nurse why both anticoagulants are necessary. Which of the following statements should the nurse make?
- A. Warfarin takes several days to work, so the IV heparin will be used until the warfarin reaches a therapeutic level.
- B. I will call the provider to get a prescription for discontinuing the IV heparin today.
- C. Both heparin and warfarin work together to dissolve the clots.
- D. The IV heparin increases the effects of the warfarin and decreases the length of your hospital stay.
Correct Answer: A
Rationale: The correct answer is A because warfarin takes several days to reach a therapeutic level and exert its full anticoagulant effect. During this time, the IV heparin is continued to prevent clotting until the warfarin is effective. Both medications are used together temporarily for this reason. Discontinuing heparin prematurely can increase the risk of clot formation. Therefore, the nurse should explain to the client that the IV heparin will be continued until the warfarin reaches a therapeutic level.
A patient is mowing his lawn on a hot Saturday afternoon. He begins to notice chest pain. What should his first action be?
- A. Take his nitroglycerin tablet.
- B. Stop mowing and sit or lie down.
- C. Go inside the house to cool off and get a drink of water.
- D. Call
Correct Answer: B
Rationale: The patient's first action should be to stop mowing and sit or lie down. Chest pain can be a symptom of a heart attack, and it is important for the patient to immediately rest and avoid physical strain. Continuing to mow the lawn could worsen the condition or lead to further complications. Sitting or lying down will help reduce the heart's workload and minimize the exertion on the body. If the chest pain continues or worsens, seeking medical help should be the next course of action.
What is the most life threatening adverse reaction while taking Omeprazole?
- A. Chest pain
- B. Constipation
- C. Clostridium Difficile Associated Diarrhea
- D. Acute interstitial nephritis
Correct Answer: D
Rationale: Acute interstitial nephritis is a rare but serious adverse reaction associated with omeprazole. It is characterized by inflammation of the kidney's interstitial tissue and can lead to kidney dysfunction. Symptoms may include fever, rash, eosinophilia, and impaired renal function. If left untreated, acute interstitial nephritis can progress to acute kidney injury and potentially be life-threatening. Therefore, it is essential to promptly recognize and manage this adverse reaction when taking omeprazole.
Which statement is accurate concerning the use of aspirin (ASA) to treat pain?
- A. High doses are necessary (1 gram) to achieve anticoagulant effects.
- B. Enteric-coated capsules are available to reduce GI side effects.
- C. Increase consumption of herbs such as garlic and ginger to potentiate the anti-inflammatory effects.
- D. In low doses (325 mg), it significantly reduces inflammation.
Correct Answer: B
Rationale: Aspirin's use for pain involves anti-inflammatory and analgesic properties, but it risks GI irritation. Enteric-coated capsules minimize this by dissolving in the intestine, not the stomach, reducing bleeding risk—an accurate statement. High doses are true for anticoagulation, not pain relief, where lower doses suffice. Herbs like garlic and ginger increase bleeding risk, not inflammation relief, making it dangerous advice. Low doses (choice D, 325 mg) primarily prevent clotting, not significantly reduce inflammation, which requires higher doses. Choice B correctly reflects a practical measure to enhance aspirin's safety profile for pain management.
Mark the location of the beginning of the plateau phase on this dose-response relationship curve.
- A. At the beginning of the curve
- B. At the area where the curve moves upward
- C. Half way up the upstroke of the curve
- D. The horizontal area at the top of the curve
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.