Nokea
A client has a new prescription for Warfarin. Which of the following statements should the nurse include in the teaching?
- A. You will need to have your blood tested regularly while taking this medication.
- B. It is safe to take over-the-counter NSAIDs with this medication.
- C. You will need to avoid foods high in vitamin K while taking this medication.
- D. You will need to take this medication with food.
Correct Answer: C
Rationale: Warfarin interacts with vitamin K, so clients should be instructed to avoid foods high in vitamin K. This is because vitamin K can interfere with the anticoagulant effects of Warfarin. It is important to maintain a consistent intake of vitamin K-containing foods to keep the medication working effectively. Therefore, the correct statement for the nurse to include in the teaching is to advise the client to avoid foods high in vitamin K while taking Warfarin.
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A client who has been taking prednisone to treat asthma is advised to discontinue the medication. The client should be instructed to reduce the dose gradually to prevent which of the following adverse effects?
- A. Hyperglycemia
- B. Adrenocortical insufficiency
- C. Severe dehydration
- D. Rebound pulmonary congestion
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Phenytoin is an antiarrhythmic and anticonvulsant that has an unlabeled use for:
- A. headaches
- B. cold remedy
- C. neurothpathic pain
- D. antianxiety
Correct Answer: C
Rationale: Phenytoin is commonly used as an anticonvulsant and antiarrhythmic medication. In addition to its approved uses, phenytoin has demonstrated effectiveness in managing neuropathic pain, which is pain caused by damage or dysfunction of the nervous system. While this use for phenytoin is off-label, it has been shown to be beneficial in certain individuals with neuropathic pain conditions. However, it is essential for a healthcare provider to prescribe phenytoin off-label for neuropathic pain, as the dosage and monitoring may differ from its standard use for epilepsy and arrhythmias.
A client has a new prescription for Clonidine. Which of the following instructions should the nurse include?
- A. Expect to feel drowsy.
- B. Increase your intake of high-potassium foods.
- C. Take the medication with grapefruit juice.
- D. Avoid foods high in fat.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client with peptic ulcer disease is being taught about managing the condition. Which of the following statements indicates an understanding of the teaching?
- A. I should eat small, frequent meals that are low in fiber.
- B. I will limit my intake of caffeine-containing beverages.
- C. I should take NSAIDs to relieve my pain.
- D. I will drink milk before bedtime to decrease acid production.
Correct Answer: B
Rationale: Limiting intake of caffeine-containing beverages is important for managing peptic ulcer disease as caffeine can stimulate gastric acid secretion, which may worsen the condition. It is advisable to choose decaffeinated beverages and avoid caffeinated drinks to help reduce the risk of aggravating the ulcer.
A client has a new prescription for Nevirapine, an NNRTI. Which of the following statements should the nurse include in discharge teaching?
- A. Take this medication with food to increase absorption.
- B. Avoid alcohol while taking this medication.
- C. Take this medication at the same time every day.
- D. Take this medication on an empty stomach.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.