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A client has a new prescription for Aspirin for the prevention of myocardial infarction. Which of the following findings should be identified as an adverse effect?
- A. Nausea
- B. Bruising
- C. Dizziness
- D. Dry mouth
Correct Answer: B
Rationale: Bruising is an adverse effect to be monitored when a client is prescribed Aspirin for myocardial infarction prevention due to its association with increased bleeding risk. Aspirin's antiplatelet effect can lead to bruising and other signs of bleeding, necessitating close observation to prevent complications.
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A client has a prescription for Alendronate. Which of the following instructions should the nurse include?
- A. Take this medication before bed.
- B. Take the medication with food.
- C. Sit upright for at least 30 minutes after taking the medication.
- D. Expect to have frequent headaches while on this medication.
Correct Answer: C
Rationale: The correct instruction for a client prescribed Alendronate is to sit upright for at least 30 minutes after taking the medication. Alendronate can cause esophageal irritation, and maintaining an upright position helps prevent this adverse effect by reducing the risk of reflux of the medication into the esophagus.
Mandy, a patient, calls the clinic today because he is taking atorvastatin (Lipitor) to treat his high cholesterol and is having pain in both of his legs. You instruct him to:
- A. Stop taking the drug and make an appointment to be seen next week.
- B. Continue taking the drug and make an appointment to be seen next week.
- C. Walk for at least 30 minutes and call if symptoms continue.
- D. Stop taking the drug and come to the clinic to be seen today.
Correct Answer: D
Rationale: Atorvastatin (Lipitor) is a statin medication used to lower cholesterol, but it can cause serious side effects such as myopathy or rhabdomyolysis, which present as muscle pain or weakness. Pain in both legs could indicate a severe adverse reaction. Stopping the medication and seeking immediate medical attention is crucial to prevent complications like kidney damage. Delaying treatment or continuing the medication without evaluation could worsen the condition. Therefore, the correct action is to stop the drug and come to the clinic to be seen today.
A client reports using over-the-counter calcium carbonate antacid. Which of the following recommendations should the nurse make about taking this medication?
- A. Decrease bulk in the diet to counteract the adverse effect of diarrhea.
- B. Take the medication with dairy products to increase absorption.
- C. Reduce sodium intake.
- D. Drink a glass of water after taking the medication.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client has been on levothyroxine therapy for several months. Which of the following findings indicates a therapeutic response to the medication?
- A. Decrease in level of thyroxine (T4)
- B. Increase in weight
- C. Increase in hours of sleep per night
- D. Decrease in level of thyroid stimulating hormone (TSH)
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When teaching a client with a new prescription for Lisinopril, which instruction should the nurse include?
- A. Take the medication with food.
- B. Expect a persistent, dry cough.
- C. Increase your intake of potassium-rich foods.
- D. Take the medication at bedtime.
Correct Answer: B
Rationale: The correct answer is B: 'Expect a persistent, dry cough.' Lisinopril, an ACE inhibitor, commonly causes a persistent, dry cough as a side effect. This should be reported to the healthcare provider if it becomes bothersome. It is essential for the nurse to educate the client about this potential side effect so the client is aware and can seek appropriate guidance if needed.