Nokea
A nurse is providing teaching to a client about the administration of omeprazole. Which of the following should the nurse include?
- A. You cannot take this medication with an antacid.
- B. You should reduce your intake of calcium while taking this medication.
- C. You should take this medication before meals.
- D. You can take a second dose if symptoms persist up to 2 hours after the first dose.
Correct Answer: C
Rationale: Rationale: Choice C is correct because omeprazole is a proton pump inhibitor that works best when taken before meals to inhibit gastric acid secretion. This timing ensures optimal effectiveness of the medication. Choices A, B, and D are incorrect. Choice A is inaccurate because omeprazole can be taken with antacids, but it is recommended to be taken separately. Choice B is incorrect as there is no specific need to reduce calcium intake while taking omeprazole. Choice D is incorrect as taking a second dose without medical advice may lead to overdosing and adverse effects.
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A nurse is caring for a client who has a new diagnosis of benign prostate hypertrophy and a prescription for doxazosin. The client tells the nurse, 'I do not take this medication. I would prefer a natural therapy.' Which of the following supplements should the nurse suggest the client discuss with the provider?
- A. Black cohosh
- B. Garlic
- C. Feverfew
- D. Saw palmetto
Correct Answer: D
Rationale: The correct answer is D: Saw palmetto. Saw palmetto is commonly used as a natural remedy for benign prostate hypertrophy due to its potential benefits in reducing symptoms. It works by decreasing inflammation and promoting the shrinkage of the prostate gland. The nurse should suggest discussing saw palmetto with the provider as it aligns with the client's preference for natural therapy.
Choice A: Black cohosh is not typically used for prostate issues but rather for menopausal symptoms in women.
Choice B: Garlic is not specifically indicated for benign prostate hypertrophy and is more commonly known for its cardiovascular benefits.
Choice C: Feverfew is primarily used for migraine headaches and has no direct association with prostate health.
In summary, saw palmetto is the most appropriate supplement to suggest as it targets the client's condition effectively compared to the other options provided.
A nurse is preparing to initiate IV therapy for a client. Which of the following sites should the nurse use to place the peripheral IV catheter?
- A. Nondominant dorsal venous arch
- B. Dominant distal dorsal vein
- C. Nondominant forearm basilic vein
- D. Dominant antecubital vein
Correct Answer: A
Rationale: The correct answer is A: Nondominant dorsal venous arch. This site is preferred for peripheral IV catheter placement due to the larger vein diameter, ease of access, and reduced risk of complications like nerve damage or infiltration. The nondominant side is chosen to prevent disruption of daily activities. The dorsal venous arch is a superficial vein that is easily visible and palpable, making it suitable for successful cannulation. It also allows for optimal flow rate and minimizes the risk of phlebitis. Choices B, C, and D are not ideal for various reasons such as smaller vein size, increased risk of nerve damage, and difficulty in accessing or securing the catheter.
A nurse is assessing a client who has hypermagnesemia. Which of the following medications should the nurse prepare to administer?
- A. Protamine sulfate
- B. Acetylcysteine
- C. Calcium gluconate
- D. Flumazenil
Correct Answer: C
Rationale: The correct answer is C: Calcium gluconate. In hypermagnesemia, there is an excess of magnesium in the blood, leading to muscle weakness, cardiac arrhythmias, and respiratory depression. Calcium gluconate is the antidote for hypermagnesemia as it works by antagonizing the effects of magnesium. By administering calcium gluconate, the nurse can help reverse the symptoms associated with hypermagnesemia and restore normal calcium levels in the body. Protamine sulfate (Choice A) is used to reverse the effects of heparin, acetylcysteine (Choice B) is used as an antidote for acetaminophen overdose, and flumazenil (Choice D) is used to reverse the effects of benzodiazepines. These medications are not indicated for hypermagnesemia.
A nurse is reviewing the list of current medications for a client who is to start a prescription for carbamazepine. The nurse should identify that which of the following medications interacts with carbamazepine?
- A. Nicotine transdermal system
- B. Diphenhydramine
- C. Estrogen-progestin combination
- D. Beclomethasone
Correct Answer: C
Rationale: The correct answer is C: Estrogen-progestin combination. Carbamazepine can decrease the effectiveness of estrogen-containing medications, including estrogen-progestin combinations, by increasing their metabolism. This can lead to reduced contraceptive efficacy and breakthrough bleeding.
Nicotine transdermal system (choice A) does not have a significant interaction with carbamazepine. Diphenhydramine (choice B) is an antihistamine and does not interact with carbamazepine. Beclomethasone (choice D) is a corticosteroid and does not have a significant interaction with carbamazepine.
A nurse is teaching a client who has angina a new prescription for sublingual nitroglycerin tablets. Which of the following instructions should the nurse include in the teaching?
- A. Discard any tablets you do not use every 6 months.
- B. Take one tablet each morning 30 minutes prior to eating.
- C. Keep the tablets at room temperature in their original glass bottle.
- D. Place the tablet between your cheek and gum to dissolve.
Correct Answer: C
Rationale: The correct answer is C: Keep the tablets at room temperature in their original glass bottle. Nitroglycerin tablets are sensitive to light, moisture, and heat. Storing them in their original glass bottle at room temperature helps maintain their potency. Discarding unused tablets every 6 months (choice A) is not necessary as long as they are stored properly. Taking a tablet each morning (choice B) is not recommended as nitroglycerin is usually taken as needed for angina attacks. Placing the tablet between cheek and gum (choice D) is not the correct administration route for sublingual nitroglycerin, as it should be placed under the tongue for rapid absorption.