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A client has a new prescription for Methotrexate to treat Rheumatoid Arthritis. Which of the following instructions should the nurse provide?
- A. Take this medication with food to prevent nausea.
- B. Drink plenty of fluids to stay hydrated while on this medication.
- C. Avoid alcohol while taking this medication.
- D. Wear sunscreen when outdoors while taking this medication.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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What should a patient avoid while taking Angiotensin-converting enzymes?
- A. Salt substitutes
- B. Foods high in potassium
- C. Foods high in sodium
- D. All of the above
Correct Answer: A
Rationale: Patients taking Angiotensin-converting enzyme (ACE) inhibitors should avoid salt substitutes because they can contain potassium chloride, which may lead to hyperkalemia. It is important to restrict potassium-rich foods while on ACE inhibitors, but the primary concern with salt substitutes is their potassium content.
What is true about food and drug precautions? Select all that apply.
- A. You must limit certain types of food or concurrent administration of certain types of drugs.
- B. Certain combinations of food and drugs can cause adverse reactions.
- C. Precautions may require limiting certain types of food or concurring drugs rather than restricting the drug itself.
- D. When one drug changes the way, another drug affects that drug.
Correct Answer: A
Rationale: A. You must limit certain types of food or concurrent administration of certain types of drugs: Some foods can interact with certain medications, either reducing their effectiveness or causing potentially harmful side effects. Therefore, it may be necessary to limit or avoid specific foods when taking certain medications.
Which instruction(s) will the nurse include when teaching patients about gentamicin? (Select all that apply.)
- A. Patients should report any hearing loss.
- B. Patients should use sunscreen when taking gentamicin.
- C. Intravenous gentamicin will be given over 20 minutes.
- D. Patients are monitored for mouth ulcers and vaginitis.
Correct Answer: A
Rationale: Gentamicin is an aminoglycoside antibiotic associated with ototoxicity, which can manifest as hearing loss or tinnitus. Patients should be instructed to report any changes in hearing. Sunscreen is not specifically required for gentamicin, as it does not cause photosensitivity. Intravenous gentamicin is typically infused over 30-60 minutes, not 20 minutes. Monitoring for mouth ulcers and vaginitis is not a priority with gentamicin, but renal function and ototoxicity should be closely monitored.
A client has a new prescription for Captopril to treat hypertension. Which of the following instructions should the nurse include?
- A. Take the medication with food.
- B. Avoid salt substitutes.
- C. Increase your intake of potassium-rich foods.
- D. Expect a dry cough to develop.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is a severe adverse effect of iron supplementation?
- A. Seizures
- B. Dry mouth
- C. Edema
- D. Serotonin syndrome
Correct Answer: A
Rationale: A severe adverse effect of iron supplementation is seizures. Iron toxicity can lead to symptoms such as abdominal pain, vomiting, bloody diarrhea, lethargy, and in severe cases, seizures. It is important for individuals taking iron supplements to follow recommended dosages to prevent adverse effects.