Nokea
A client is receiving discharge teaching for a new prescription of Fluoxetine for PTSD. Which of the following statements should be included in the teaching?
- A. You may experience a decreased desire for intimacy while taking this medication.
- B. You should take this medication in the evening to help promote sleep.
- C. You may experience fewer urinary adverse effects if you urinate just before taking this medication.
- D. You should wear sunglasses when outdoors due to the light sensitivity caused by this medication.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A nurse is assessing a client who is receiving IV vancomycin. The nurse notes a flushing of the neck and tachycardia. Which of the following actions should the nurse take?
- A. Document that the client experienced an anaphylactic reaction to the medication.
- B. Change the IV infusion site.
- C. Decrease the infusion rate on the IV.
- D. Apply cold compresses to the neck area.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following medications is a bronchodilator?
- A. Albuterol
- B. Omeprazole
- C. Ondansetron
- D. Senna
Correct Answer: A
Rationale: Albuterol is classified as a bronchodilator, which is commonly used to treat conditions like asthma by relaxing the muscles in the airways and increasing airflow to the lungs. Omeprazole is a proton pump inhibitor used to reduce stomach acid production, while ondansetron is an anti-nausea medication, and senna is a laxative.
A client has a prescription for Trimethoprim-Sulfamethoxazole. Which of the following instructions should the nurse include?
- A. Take the medication with food.
- B. Increase fluid intake.
- C. Expect reddish-orange urine.
- D. Avoid high-protein foods.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client has a new prescription for Enfuvirtide to treat HIV infection. The nurse should monitor the client for which of the following adverse reactions?
- A. Bone marrow suppression
- B. Pancreatitis
- C. Pancreatitis
- D. Bone marrow suppression
Correct Answer: D
Rationale: While bone marrow suppression is not typically associated with Enfuvirtide, a more relevant concern is the risk of severe allergic reactions such as anaphylaxis. Enfuvirtide, an HIV fusion inhibitor, can cause local injection site reactions and systemic allergic responses. Monitoring for signs of allergic reactions, such as rash, fever, and difficulty breathing, is crucial to ensure the client's safety.
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.