Nokea
A client with a urinary tract infection (UTI) is prescribed ciprofloxacin. Which instruction should the nurse provide to the client?
- A. If the medication causes an upset stomach, take an antacid at the same time.
- B. Increase your daily fluid intake while taking this medication.
- C. This medication can cause photophobia, so avoid direct sunlight exposure.
- D. You should report any tendon discomfort you experience while taking this medication.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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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.
What is the antidote for Heparin?
- A. Protamine sulfate
- B. Narcan
- C. Romazicon
- D. Naloxone
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client has a prescription for Desmopressin for the treatment of Diabetes Insipidus. Which of the following instructions should the nurse include in the teaching?
- A. Decrease fluid intake at the start of treatment.
- B. Monitor for nocturia.
- C. Report a weight loss of 0.5 kg (1.1 lb) per week.
- D. Expect permanent polyuria with this medication.
Correct Answer: A
Rationale: Desmopressin is a medication used to reduce diuresis in clients with diabetes insipidus. To prevent water intoxication, clients should be advised to decrease fluid intake at the beginning of treatment. This instruction helps to balance fluid levels in the body and prevent potential complications associated with excessive fluid intake while on Desmopressin therapy. Monitoring for signs of fluid retention, such as weight gain, and adjusting fluid intake accordingly are essential components of client education when initiating treatment with Desmopressin.
A client has a new prescription for spironolactone. The client should be monitored for which of the following adverse effects?
- A. Hyperkalemia
- B. Hyponatremia
- C. Hypokalemia
- D. Hypercalcemia
Correct Answer: A
Rationale: Spironolactone is a potassium-sparing diuretic that can lead to hyperkalemia as an adverse effect. Hyperkalemia is characterized by elevated levels of potassium in the blood, which can be dangerous and lead to cardiac arrhythmias. Therefore, monitoring for signs and symptoms of hyperkalemia is crucial when a client is taking spironolactone.
A 22-year-old woman is investigated by authorities after the accidental death of her 4-year-old child. It appears that the child would not go to sleep and the mother used chloroform to make the child sleepy. What is the most likely explanation for this accidental death?
- A. Myocardial infarction
- B. Toxic dose of chloroform via inhalation
- C. Underlying pulmonary hypertension
- D. Underlying pulmonary venous thrombosis
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.