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A client is taking naproxen following an exacerbation of rheumatoid arthritis. Which of the following statements by the client requires further discussion?
- A. I signed up for a swimming class.
- B. I've been taking an antacid to help with indigestion.
- C. I've lost 2 pounds since my appointment 2 weeks ago.
- D. The naproxen is easier to take when I crush it and put it in applesauce.
Correct Answer: B
Rationale: The client stating that they have been taking an antacid to help with indigestion while on naproxen requires further discussion as it can indicate gastrointestinal distress or potential interactions between the medications. Antacids may affect the absorption of naproxen or lead to other complications, so it is important for the nurse to address this statement with the client.
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The client receives albuterol (Proventil) via inhaler. He asks the nurse why he can't just take a pill. What is the best response by the nurse?
- A. When you inhale the drug the blood supply in your lungs picks it up rapidly, resulting in quicker effects.'
- B. Because pills cannot help your illness; you must have inhaled medications for relief of symptoms.'
- C. Because pills would produce too many side effects; you will have very few side effects with inhaled medications.'
- D. Because pills are less effective than inhalers for your condition.'
Correct Answer: A
Rationale: Albuterol, a bronchodilator for asthma or COPD, is inhaled to target lung airways directly. Choice A explains that inhalation allows rapid absorption via the lungs' rich blood supply, providing quicker relief (within minutes) compared to oral pills, which undergo slower gastrointestinal absorption. Choice B falsely claims pills can't help; oral bronchodilators exist but act slower. Choice C exaggerates side effect differences; inhaled albuterol minimizes systemic effects, but pills aren't inherently riskier. Choice D oversimplifies efficacy without context. The nurse's best response (A) accurately addresses the patient's question with pharmacokinetic reasoning, enhancing understanding and compliance.
The nursing instructor teaches student nurses about male reproductive function and the role of follicle-stimulating hormone (FSH). The instructor evaluates learning has occurred when the students make which statement?
- A. Follicle-stimulating hormone (FSH) regulates sperm production
- B. Follicle-stimulating hormone (FSH) regulates male androgen production
- C. Follicle-stimulating hormone (FSH) regulates production of testosterone
- D. Follicle-stimulating hormone (FSH) regulates male progesterone
Correct Answer: A
Rationale: Follicle-stimulating hormone (FSH), secreted by the pituitary gland, targets Sertoli cells in the testes to stimulate spermatogenesis, the process of sperm production, making it a key regulator of male fertility. Androgen production, primarily testosterone, is governed by luteinizing hormone (LH), not FSH, though both hormones collaborate in reproductive function. Testosterone synthesis occurs in Leydig cells under LH's influence, not FSH, which focuses on supporting sperm maturation rather than hormone production. Progesterone, while present in trace amounts in males, isn't regulated by FSH, as it's more relevant to female reproductive cycles. The specificity of FSH's role in spermatogenesis distinguishes it from broader hormonal regulation, ensuring students grasp its targeted action in the seminiferous tubules, critical for understanding male reproductive physiology and distinguishing it from LH's testosterone-driven effects.
A client has a new prescription for Nevirapine, an NNRTI. Which of the following statements should the nurse include in teaching the client?
- A. Take this medication on an empty stomach.
- B. Take this medication with food to increase absorption.
- C. Avoid alcohol while taking this medication.
- D. Take this medication at the same time every day.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A healthcare provider is educating a client who has a prescription for Theophylline. Which of the following instructions should the healthcare provider include?
- A. Avoid caffeine while taking this medication.
- B. You should increase your fluid intake.
- C. Take this medication in the evening.
- D. You may experience increased appetite while on this medication.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client has a new prescription for Losartan. Which of the following client statements indicates an understanding of the teaching?
- A. I will increase my intake of potassium-rich foods.
- B. I will take the medication with a full glass of milk.
- C. I should monitor my blood pressure weekly.
- D. I will take the medication every other day.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.