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A client has a new prescription for Ranitidine to treat peptic ulcer disease. Which of the following instructions should the nurse include?
- A. Take the medication on an empty stomach.
- B. Avoid smoking while taking this medication.
- C. Increase intake of dairy products.
- D. Expect a yellow tinge to the skin.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A client is taking lisinopril. Which of the following outcomes indicates a therapeutic effect of the medication?
- A. Decreased blood pressure
- B. Increase in HDL cholesterol
- C. Prevention of bipolar manic episodes
- D. Improved sexual function
Correct Answer: A
Rationale: The therapeutic effect of lisinopril, an ACE inhibitor, is indicated by a decrease in blood pressure. Lisinopril works by relaxing blood vessels, leading to a reduction in blood pressure. Monitoring and achieving a decrease in blood pressure is a key outcome when managing hypertension with lisinopril.
The following drugs can cause QT prolongation:
- A. Amiodarone
- B. Sotalol
- C. Ciprofloxacin
- D. All of the above
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client has been prescribed Nitroglycerin patches for angina. Which of the following instructions should the nurse include during discharge teaching?
- A. Apply the patch to a different site each time.
- B. Remove the patch for 12 hours each day.
- C. Apply the patch at the same time every day.
- D. Cut the patch in half if your blood pressure is well controlled.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client with Parkinson's disease is prescribed levodopa/carbidopa (Sinemet). Which instruction should the nurse include?
- A. Take this medication with a high-protein meal.'
- B. Report dark urine immediately.'
- C. Rise slowly to avoid dizziness.'
- D. Stop the drug if you feel better.'
Correct Answer: C
Rationale: Levodopa/carbidopa treats Parkinson's by increasing dopamine, but vasodilation risks orthostatic hypotension. Rising slowly prevents falls, a key instruction for safety. High-protein meals reduce levodopa absorption via amino acid competition, decreasing efficacy. Dark urine isn't a typical concern'harmless pigment changes occur. Stopping if feeling better risks symptom return, as it's not a cure. Rising slowly aligns with the drug's side effect profile, critical in Parkinson's where mobility is impaired, making C the essential teaching point to ensure client stability and adherence.
A 52-year-old man undergoes three surgical procedures in a 2-week period involving debridement of a deep skin abscess. Each surgical anesthesia procedure involves the use of halothane. Which of the following pathologic processes is possible as a result of the surgical procedures?
- A. Cholelithiasis
- B. Hepatic necrosis
- C. Nephrolithiasis
- D. Steatorrhea
Correct Answer: B
Rationale: Repeated halothane anesthesia risks hepatic necrosis . Halothane, a halogenated anesthetic, can cause hepatitis or necrosis, especially with multiple exposures, due to toxic metabolites. Cholelithiasis , kidney stones , steatorrhea , and tinnitus (E) aren't linked. Hepatic necrosis, though rare, is a documented risk, particularly in short-interval surgeries, making it the plausible complication here.