Nokea
A nurse is caring for a patient who has a new prescription for fluconazole. Which of the following instructions should the nurse include? What instructions should the nurse include for fluconazole?
- A. Take the medication with food.
- B. Report any abdominal pain.
- C. Avoid driving for 24 hours.
- D. Take the medication at bedtime.
Correct Answer: B
Rationale: The correct answer is B: Report any abdominal pain. This is important because fluconazole can cause gastrointestinal side effects such as abdominal pain, nausea, and diarrhea. Prompt reporting of abdominal pain can help monitor for potential complications like liver toxicity. Choice A is incorrect as fluconazole can be taken with or without food. Choice C is incorrect as fluconazole does not typically impair driving ability. Choice D is incorrect as fluconazole can be taken at any time of the day.
You may also like to solve these questions
A nurse is caring for a patient who is postoperative following a total hip arthroplasty. Which of the following actions should the nurse take to prevent hip dislocation? Which action prevents hip dislocation post-arthroplasty?
- A. Place the patient in high Fowler's position.
- B. Keep the patient's legs in adduction.
- C. Place a pillow between the patient's legs.
- D. Encourage the patient to flex the hip to 120 degrees.
Correct Answer: C
Rationale: Correct Answer: C: Place a pillow between the patient's legs.
Rationale: Placing a pillow between the patient's legs helps maintain proper alignment and prevents the hip from dislocating by keeping the legs in abduction. This position reduces the risk of internal rotation and adduction, which are common movements that can lead to hip dislocation post-arthroplasty.
Summary of Incorrect Choices:
A: Placing the patient in high Fowler's position does not directly address hip dislocation prevention.
B: Keeping the patient's legs in adduction increases the risk of hip dislocation.
D: Encouraging the patient to flex the hip to 120 degrees can also increase the risk of hip dislocation by placing stress on the hip joint.
A nurse is caring for a patient who has a new prescription for lisinopril. Which of the following laboratory values should the nurse monitor? Which lab value should the nurse monitor for lisinopril?
- A. Serum potassium
- B. Serum calcium
- C. Serum magnesium
- D. Serum chloride
Correct Answer: A
Rationale: The nurse should monitor serum potassium levels because lisinopril, an ACE inhibitor, can cause potassium retention leading to hyperkalemia. Hyperkalemia can result in serious cardiac complications. Monitoring potassium levels allows timely intervention if levels become elevated. Serum calcium, magnesium, and chloride are not typically affected by lisinopril, making choices B, C, and D incorrect. The correct answer, A, is crucial for patient safety and reflects the physiological impact of lisinopril on potassium levels.
A nurse is caring for a patient who is receiving total parenteral nutrition (TPN). Which of the following laboratory values should the nurse monitor? Which lab value should the nurse monitor for TPN?
- A. Serum glucose
- B. Serum calcium
- C. Serum magnesium
- D. Serum sodium
Correct Answer: A
Rationale: The correct answer is A: Serum glucose. When a patient is receiving TPN, monitoring serum glucose levels is crucial as TPN solutions contain high concentrations of glucose. Elevated glucose levels can lead to hyperglycemia, which can result in complications such as osmotic diuresis and hyperosmolar hyperglycemic state. Monitoring glucose levels helps in adjusting TPN infusion rates to maintain a stable blood glucose level.
Incorrect answers:
B: Serum calcium - Calcium levels are not directly affected by TPN and are not typically monitored specifically for patients receiving TPN.
C: Serum magnesium - While magnesium levels may be affected by TPN, glucose monitoring is more critical due to the high glucose content in TPN.
D: Serum sodium - Sodium levels are not directly influenced by TPN and are not typically monitored specifically for patients receiving TPN.
A nurse is educating a patient with binge eating disorder and morbid obesity who has been prescribed orlistat. Which of the following statements, if made by the patient, would indicate that they understand the teaching? Which statement indicates understanding of orlistat teaching?
- A. I will stop taking orlistat and call my doctor if my urine gets darker in color.
- B. I will take my dose of orlistat every morning an hour before breakfast.
- C. I will feel less hungry during meals while I am taking orlistat.
- D. I will eat a no-fat diet to prevent side effects from the medication.
Correct Answer: A
Rationale: The correct answer is A: "I will stop taking orlistat and call my doctor if my urine gets darker in color." This statement indicates understanding because dark urine could indicate a potentially serious side effect of orlistat, such as liver problems. Stopping the medication and seeking medical advice in such a situation is crucial for the patient's safety.
Explanation for other choices:
B: Taking orlistat with a meal containing fat is recommended, not on an empty stomach before breakfast.
C: Orlistat does not suppress appetite; it works by blocking the absorption of fat in the intestine.
D: While reducing fat intake is recommended to decrease side effects, a no-fat diet is not necessary and could lead to nutrient deficiencies.
E, F, G: No additional choices provided.
A nurse is educating a patient with benign prostatic hypertrophy who has been newly prescribed finasteride. What should the nurse include in the teaching? What should the nurse include in finasteride teaching?
- A. Decreased libido is an adverse effect of the medication.
- B. Avoid drinking grapefruit juice when taking this medication.
- C. PSA levels will increase while taking this medication.
- D. Expect to see a response from the medication within one week.
Correct Answer: A
Rationale: The correct answer is A: Decreased libido is an adverse effect of the medication. Finasteride is a 5-alpha reductase inhibitor commonly used to treat benign prostatic hypertrophy. One of the common side effects of finasteride is a decrease in libido due to its mechanism of action on hormone levels. This information is crucial for the patient to be aware of to monitor and report any changes in sexual function. Choice B is incorrect because grapefruit juice does not interact with finasteride. Choice C is incorrect as PSA levels typically decrease with finasteride treatment. Choice D is incorrect as it may take several months to see a response from the medication due to its mechanism of action on prostate size.