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A nurse is administering acetaminophen to a client who has diabetes. Which of the following would be most important for the nurse to monitor?
- A. Arterial blood pH
- B. Blood pressure
- C. Blood glucose levels
- D. Blood creatinine levels
Correct Answer: C
Rationale: Acetaminophen may alter blood glucose test results in diabetic patients, potentially causing falsely lower values, making glucose monitoring critical.
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A nurse should monitor a client taking nonopioid analgesics for gastrointestinal bleeding. Which of the following would indicate to the nurse that the client is experiencing this adverse reaction?
- A. Abdominal distention
- B. Blood-streaked vomit
- C. Vomit that looks like coffee grounds
- D. Dark, tarry stools
- E. Bright red blood in stool
Correct Answer: A,B,C,D,E
Rationale: Signs of gastrointestinal bleeding include abdominal distention, blood-streaked or coffee-ground vomit, and stools that are black, tarry, bright red, or red-streaked.
While obtaining the medication history, a client tells the nurse that he takes acetaminophen every day. The nurse questions the client about the amount of the drug he takes in each dose and how many times a day he takes the drug based on the understanding that the total daily dose should be no greater than which amount?
- A. 2 grams
- B. 4 grams
- C. 6 grams
- D. 8 grams
Correct Answer: B
Rationale: The maximum daily dose of acetaminophen should not exceed 4 grams to prevent toxicity.
A nurse is describing the overall effects associated with aspirin to a client. The nurse integrates knowledge of which of the following when describing this drug?
- A. Analgesic
- B. Antipyretic
- C. Anti-inflammatory
- D. Anti-infective
- E. Antiviral
Correct Answer: A,B,C
Rationale: Aspirin is a salicylate with analgesic, antipyretic, and anti-inflammatory effects. It does not have anti-infective or antiviral properties.
A nurse suspects that a client is experiencing acute acetaminophen toxicity based on assessment of which of the following?
- A. Nausea
- B. Jaundice
- C. Hypertension
- D. Cardiac arrhythmias
- E. Confusion
Correct Answer: A,B,E
Rationale: Signs of acute acetaminophen toxicity include nausea, vomiting, confusion, liver tenderness, hypotension, cardiac arrhythmias, jaundice, and acute hepatic and renal failure.
Which of the following are important points for the nurse to cover when performing discharge teaching for a client receiving a salicylate?
- A. Inform all health care providers of salicylate use.
- B. Discard salicylates if they smell like vinegar.
- C. Take salicylates with food.
- D. Store salicylates in the bathroom.
- E. Keep salicylate container closed tightly.
Correct Answer: A,B,C,E
Rationale: Discharge teaching includes taking salicylates with food, informing providers of use, discarding salicylates with a vinegar smell, and storing in a tightly closed container away from humidity, not in the bathroom.