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A client has a new prescription for Labetalol. Which of the following instructions should be provided?
- A. Take the medication with food.
- B. Monitor your blood glucose levels.
- C. Expect a rapid heart rate.
- D. Increase your intake of high-sodium foods.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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When administering an Antiulcer Agent, you should be more cautious when administering it to:
- A. A healthy 27-year-old patient
- B. Patient with renal failure
- C. Elderly patients
- D. Choices B & C
Correct Answer: D
Rationale: When administering an antiulcer agent, caution is warranted in patients with renal failure due to the potential impact on drug metabolism and excretion. Additionally, elderly patients may be more susceptible to adverse effects from antiulcer agents due to age-related physiological changes. Therefore, it is important to be more cautious when administering antiulcer agents to patients with renal failure and elderly patients.
A client with a UTI and a history of recurrent infections asks why the provider has not yet prescribed an antibiotic. The nurse should explain that the provider has to wait for the results of which of the following laboratory tests to identify which antibiotic to prescribe?
- A. Gram stain
- B. Culture
- C. Sensitivity
- D. Specific gravity
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A patient has been prescribed warfarin (Coumadin) in addition to a heparin infusion. The patient asks the nurse why he has to be on two medications. The nurse™s response is based on which rationale?
- A. The oral and injection forms work synergistically.
- B. The combination of heparin and an oral anticoagulant results in fewer adverse effects
- D. Heparin is used to start anticoagulation so as to allow time for the blood levels of warfarin to reach adequate levels.
Correct Answer: D
Rationale: Heparin is a fast-acting, short-term anticoagulant that is often used to rapidly initiate anticoagulation in situations where immediate blood thinning is necessary, such as in patients with certain medical conditions or undergoing procedures. On the other hand, warfarin (Coumadin) is a slower-acting, longer-term anticoagulant that takes time to reach therapeutic levels in the bloodstream. By using heparin to start anticoagulation, the patient is protected against clot formation while waiting for the warfarin to reach adequate levels to provide ongoing anticoagulation therapy. This approach minimizes the risk of clot formation during the transition period between medications.
An 86-year-old patient is being discharged to home on digitalis therapy and has very little information regarding the medication. Which statement best reflects a realistic outcome of patient teaching activities?
- A. The patient and patient's daughter will state the proper way to take the drug.
- B. The nurse will provide teaching about the drug's adverse effects.
- C. The patient will state all the symptoms of digitalis toxicity.
- D. The patient will call the prescriber if adverse effects occur.
Correct Answer: A
Rationale: Patient education is a critical component of nursing care, especially for elderly patients who may have difficulty understanding complex medication regimens. A realistic outcome for an 86-year-old patient and their caregiver (daughter) is that they can state the proper way to take the drug. This ensures that the medication is taken correctly, reducing the risk of toxicity or underdosing. While teaching about adverse effects and symptoms of toxicity is important, expecting the patient to recall all symptoms may be unrealistic due to age-related cognitive decline. The most practical and achievable goal is ensuring the patient and caregiver understand the proper administration of the medication.
When educating a client with a new prescription for Atorvastatin to treat Hyperlipidemia, which instruction should the nurse include?
- A. Take this medication in the morning.
- B. Avoid drinking grapefruit juice.
- C. Increase your intake of green, leafy vegetables.
- D. Expect your stools to turn clay-colored.
Correct Answer: B
Rationale: The correct instruction for the nurse to include when educating a client with a new prescription for Atorvastatin to treat Hyperlipidemia is to avoid drinking grapefruit juice. Grapefruit juice can increase the blood levels of atorvastatin, leading to an elevated risk of serious side effects such as liver damage and muscle problems. It is essential for the client to be aware of this potential interaction and to follow the nurse's advice to avoid grapefruit juice while taking Atorvastatin.