Nokea
A nurse is providing teaching to a client who has a new prescription for enoxaparin. Which of the following medications for pain relief should the nurse include in the teaching that can be taken concurrently with enoxaparin?
- A. Ibuprofen
- B. Naproxen sodium
- C. Acetaminophen
- D. Aspirin
Correct Answer: C
Rationale: Rationale: Acetaminophen is the correct choice because it does not have an antiplatelet effect like aspirin, ibuprofen, and naproxen sodium. Enoxaparin is an anticoagulant that works by preventing blood clots, so it is safer to take acetaminophen for pain relief as it does not increase the risk of bleeding. Aspirin, ibuprofen, and naproxen sodium can increase the risk of bleeding when taken with enoxaparin due to their antiplatelet effects. Therefore, acetaminophen is the safest option for pain relief while on enoxaparin therapy.
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Which of the following statements should the nurse include when teaching the client about the prescribed medication?
- A. The medication can cause nausea, so take with a meal.
- B. You can experience vivid nightmares.
- C. You may notice your urine becomes lighter in color.
- D. Consumption of a high protein meal can reduce the effectiveness of the medication.
- E. You may initially notice an increase in involuntary movements.
Correct Answer: A
Rationale: The correct answer is A because taking the medication with a meal can help reduce nausea. This statement is important to ensure client compliance and improve medication tolerance. Choice B is incorrect as vivid nightmares are not a common side effect of the medication. Choice C is incorrect as urine color change is not relevant to this medication. Choice D is incorrect as high protein meals do not affect medication effectiveness. Choice E is incorrect as an increase in involuntary movements is not expected with this medication.
A nurse is consulting a formulary about a client's new prescription for raloxifene. The nurse should identify that this medication is used to treat which of the following conditions?
- A. Osteoporosis
- B. Hypothyroidism
- C. Urinary tract infection
Correct Answer: A
Rationale: The correct answer is A: Osteoporosis. Raloxifene is a medication used to prevent and treat osteoporosis by increasing bone density. It is a selective estrogen receptor modulator that mimics estrogen's effects on bone without affecting other tissues like the uterus. This helps to reduce the risk of fractures in postmenopausal women. Choices B, C, D, E, F, and G are incorrect because raloxifene is not indicated for hypothyroidism, urinary tract infections, or any other conditions besides osteoporosis.
A client who has active tuberculosis and is taking rifampin reports that his urine and sweat have developed a red tinge. Which of the following actions should the nurse take?
- A. Check the client's liver function test results.
- B. Instruct the client to increase his fluid intake.
- C. Document this as an expected finding.
- D. Prepare the client for dialysis.
Correct Answer: C
Rationale: Rationale for Correct Answer (C): Document this as an expected finding. Rifampin is known to cause harmless discoloration of bodily fluids like urine and sweat. This is a common side effect and does not indicate any serious issues. The nurse should document this finding to track the client's response to the medication and educate the client about it.
Summary of Incorrect Choices:
A: Checking liver function test results is not necessary for the red discoloration caused by rifampin.
B: Increasing fluid intake will not resolve the red tinge as it is a known side effect of rifampin.
D: Dialysis is not indicated for the harmless discoloration caused by rifampin.
A nurse is administering naloxone to a client who has developed an adverse reaction to morphine. The nurse should identify which of the following findings as a therapeutic effect of naloxone?
- A. Decreased nausea
- B. Increased pain relief
- C. Decreased blood pressure
- D. Increased respiratory rate
Correct Answer: D
Rationale: The correct answer is D: Increased respiratory rate. Naloxone is an opioid antagonist that works by blocking the effects of opioids, such as morphine. By administering naloxone to the client experiencing an adverse reaction to morphine, the nurse can reverse the respiratory depression caused by the morphine. This reversal leads to an increase in the client's respiratory rate, which is a therapeutic effect of naloxone in this situation.
Incorrect choices:
A: Decreased nausea - Naloxone does not directly address nausea.
B: Increased pain relief - Naloxone does not provide pain relief but reverses the effects of opioids.
C: Decreased blood pressure - Naloxone may lead to an increase in blood pressure due to its effects on reversing opioid-induced respiratory depression.
A nurse is receiving a medication prescription by telephone from a provider. The provider states, 'Administer 6 milligrams of morphine IV push every 3 hours as needed for acute pain.' How should the nurse transcribe the prescription in the client's medical record?
- A. Morphine 6 mg IV push every 3 hr PRN acute pain
- B. MSO 6 mg IV push every 3 hr PRN acute pain
- C. MS 6 mg IV push every 3 hr PRN acute pain
- D. Morphine 6.0 mg IV push every 3 hr PRN acute pain
Correct Answer: A
Rationale: The correct answer is A: Morphine 6 mg IV push every 3 hr PRN acute pain. This transcription accurately reflects the medication (morphine), dose (6 mg), route (IV push), frequency (every 3 hours), and indication (acute pain). "PRN" indicates as needed. Choice B is incorrect because "MSO" is not morphine. Choice C is incorrect because "MS" is not specific to morphine. Choice D is incorrect because adding a decimal point (6.0 mg) is unnecessary and can lead to dosing errors.