Nokea
A 22-year-old woman is investigated by authorities after the accidental death of her 4-year-old child. It appears that the child would not go to sleep and the mother used chloroform to make the child sleepy. What is the most likely explanation for this accidental death?
- A. Myocardial infarction
- B. Toxic dose of chloroform via inhalation
- C. Underlying pulmonary hypertension
- D. Underlying pulmonary venous thrombosis
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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When teaching a client with a new prescription for Sulfasalazine, which instruction should the nurse include?
- A. Expect orange discoloration of urine and skin.
- B. Increase your intake of high-sodium foods.
- C. Take the medication with a full glass of milk.
- D. Expect your stools to be black and tarry.
Correct Answer: A
Rationale: The correct instruction to include when teaching a client with a new prescription for Sulfasalazine is to expect orange discoloration of urine and skin. Sulfasalazine can cause this harmless side effect, which does not necessitate discontinuation of the medication. It is crucial for the nurse to educate the client about this expected outcome to prevent unnecessary concern or discontinuation of the medication.
A client with Bipolar disorder has a new prescription for Carbamazepine. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
- A. This medication can safely be taken during pregnancy.
- B. Eliminate grapefruit juice from your diet.
- C. You will need to have a complete blood count and carbamazepine levels drawn periodically.
- D. Notify your provider if you develop a rash.
Correct Answer: B
Rationale: Grapefruit juice affects carbamazepine metabolism and should be avoided. It can lead to increased levels of the medication, potentially causing toxicity. Monitoring carbamazepine blood levels and the complete blood count (CBC) is essential to ensure the medication's efficacy and safety. Carbamazepine can cause serious adverse effects like Stevens-Johnson syndrome, which can be life-threatening. Therefore, the client should promptly report any rash to the healthcare provider. Additionally, the client should be educated about potential central nervous system (CNS) side effects such as drowsiness or dizziness, and advised to avoid activities requiring alertness until these effects diminish.
A 44-year-old man who is a chronic smoker and takes bupropion takes 10 pills at once in an attempted suicide. Which of the following effects is possible as a result of this overdose?
- A. Dry mouth
- B. Nervousness
- C. Seizures
- D. Sexual dysfunction
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client has a prescription for Acyclovir. Which of the following instructions should the nurse include?
- A. Expect to take this medication long-term.
- B. Increase fluid intake during therapy.
- C. Avoid sexual contact while on this medication.
- D. Consult your healthcare provider if you experience nausea.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client with active tuberculosis asks why he must take four different medications. Which of the following responses should the nurse make?
- A. Taking four medications decreases the risk for a severe allergic reaction.
- B. Taking four medications reduces the chance that the bacteria will become resistant.
- C. Taking four medications reduces the risk for adverse reactions.
- D. Taking four medications decreases the chance of having a positive tuberculin skin test.
Correct Answer: B
Rationale: When treating tuberculosis, using a combination of multiple medications is crucial to reduce the risk of bacterial resistance. The use of four medications helps to target the bacteria from different angles, making it harder for them to develop resistance to the treatment. This approach is essential to ensure the effectiveness of the treatment regimen and to prevent the spread of drug-resistant strains of tuberculosis.