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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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 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 professional is reviewing the laboratory results of a client who is taking Warfarin for atrial fibrillation. Which of the following findings should the professional report to the provider immediately?
- A. INR of 4.0
- B. Potassium level of 4.5 mEq/L
- C. Creatinine level of 1.0 mg/dL
- D. BUN of 18 mg/dL
Correct Answer: A
Rationale: An INR of 4.0 indicates that the client's blood is clotting too slowly, increasing the risk of bleeding. This level is above the therapeutic range for a client on Warfarin therapy. Therefore, the healthcare professional should notify the provider immediately to prevent potential bleeding complications.
A client with Parkinson's disease is prescribed levodopa/carbidopa (Sinemet). Which instruction should the nurse include?
- A. Take this medication with a high-protein meal.'
- B. Report dark urine immediately.'
- C. Rise slowly to avoid dizziness.'
- D. Stop the drug if you feel better.'
Correct Answer: C
Rationale: Levodopa/carbidopa treats Parkinson's by increasing dopamine, but vasodilation risks orthostatic hypotension. Rising slowly prevents falls, a key instruction for safety. High-protein meals reduce levodopa absorption via amino acid competition, decreasing efficacy. Dark urine isn't a typical concern'harmless pigment changes occur. Stopping if feeling better risks symptom return, as it's not a cure. Rising slowly aligns with the drug's side effect profile, critical in Parkinson's where mobility is impaired, making C the essential teaching point to ensure client stability and adherence.
What is levothyroxine's pharmacologic classification?
- A. Thyroid Preparations
- B. Metabolic Inhibitors
- C. Analgesic
- D. Loop Diuretic
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.