Nokea
A client is taking metformin for type 2 diabetes. Which of the following findings should indicate to the nurse that the medication is effective?
- A. Increased urine output
- B. Decreased fasting blood glucose
- C. Decreased hemoglobin A1C
- D. Decreased polyuria
Correct Answer: C
Rationale: A decrease in hemoglobin A1C is a more specific indicator of metformin's effectiveness in controlling blood glucose levels over a longer period compared to fasting blood glucose levels. Hemoglobin A1C reflects average blood sugar levels over the past 2-3 months, providing a more comprehensive view of glycemic control.
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A client is taking Ritonavir, a protease inhibitor, to treat HIV infection. The nurse should monitor for which of the following adverse effects of this medication?
- A. Increased TSH level
- B. Decreased ALT level
- C. Hypoglycemia
- D. Hyperlipidemia
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client has a prescription for Amoxicillin. Which of the following instructions should be included?
- A. Take the medication with food.
- B. Avoid taking the medication with milk.
- C. Expect your stools to turn clay-colored.
- D. Complete the entire course of therapy.
Correct Answer: D
Rationale: It is crucial for clients to complete the entire course of amoxicillin therapy to ensure the infection is fully treated and to prevent antibiotic resistance. Prematurely stopping the antibiotic can lead to incomplete eradication of the infection, potentially causing it to return and be more difficult to treat.
When educating a client prescribed Rifampin, which instruction should the nurse provide?
- A. Expect orange discoloration of urine.
- B. Take the medication with food.
- C. Increase your intake of dairy products.
- D. Discontinue the medication if you experience itching.
Correct Answer: A
Rationale: The correct instruction for a client prescribed Rifampin is to expect orange discoloration of urine. Rifampin is known to cause harmless discoloration of bodily fluids, including urine, which is a common side effect of this medication. It is important for the nurse to educate the client about this expected side effect to prevent unnecessary concern or discontinuation of the medication.
A client has a new prescription for Spironolactone. Which of the following instructions should be provided?
- A. Take the medication with food.
- B. Avoid potassium-rich foods.
- C. Increase your intake of sodium.
- D. Monitor your blood pressure daily.
Correct Answer: B
Rationale: The correct answer is to 'Avoid potassium-rich foods.' Spironolactone is a potassium-sparing diuretic, and consuming foods high in potassium can lead to hyperkalemia, a potential side effect of the medication. Therefore, the client should be advised to avoid potassium-rich foods to prevent complications.
A client has a new prescription for hydrochlorothiazide to treat hypertension. Which of the following instructions should be included?
- A. Take the medication in the morning.
- B. Increase intake of potassium-rich foods.
- C. Avoid sun exposure while taking this medication.
- D. Limit fluid intake to 1 liter per day.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.