Nokea
A nurse is reinforcing teaching with a client who has a prescription for nystatin oral suspension. Which of the following instructions should the nurse include in the teaching?
- A. Swish the medication in your mouth.
- B. Use a straw when taking this medication.
- C. Take the medication with meals.
- D. Drink at least 8 ounces of water after taking the medication.
Correct Answer: A
Rationale: The correct answer is A: Swish the medication in your mouth. Nystatin oral suspension is an antifungal medication used to treat oral thrush, a fungal infection in the mouth. By swishing the medication in the mouth before swallowing, it allows the medication to come into contact with the affected areas in the mouth, ensuring better efficacy. Using a straw (choice B) may not be effective as it may not reach all areas of the mouth. Taking the medication with meals (choice C) may interfere with the absorption of the medication. Drinking water after taking the medication (choice D) is not necessary for its effectiveness.
You may also like to solve these questions
A nurse is preparing to administer erythromycin PO to a client who has an infection. The nurse checks the client's medical record and notes that the client has a severe allergy to penicillin. Which of the following actions should the nurse take?
- A. Request a different medication from the provider.
- B. Premedicate the client with diphenhydramine.
- C. Administer the medication to the client.
- D. Request a different route of administration from the provider.
Correct Answer: C
Rationale: Rationale: The correct action is to administer the medication to the client (Choice C) because erythromycin is not related to penicillin and is safe to use in clients with a penicillin allergy. Requesting a different medication (Choice A) may not be necessary as erythromycin is a suitable alternative. Premedicating with diphenhydramine (Choice B) is not indicated for a penicillin allergy. Requesting a different route of administration (Choice D) is unnecessary since the oral route is appropriate for erythromycin.
A nurse is preparing to administer acetaminophen 10 mg/kg PO every 6 hr to a toddler who weighs 26.4 lb. Available is acetaminophen 80 mg/0.8 mL liquid. How many mL should the nurse administer with each dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
- A. 1.2
Correct Answer: A
Rationale: To calculate the correct dose, first convert the toddler's weight from pounds to kilograms: 26.4 lb / 2.2 = 12 kg. Then calculate the dose: 10 mg/kg * 12 kg = 120 mg per dose. Next, determine how many mL of the liquid acetaminophen contain 120 mg: 80 mg/0.8 mL = 120 mg/X mL. Cross multiply to find X = 1.2 mL. Therefore, the correct answer is A: 1.2 mL. Other choices are incorrect as they do not align with the calculated dose based on the toddler's weight and the concentration of the liquid form of acetaminophen available.
A nurse is collecting data from a client who has been taking methimazole for 2 months for the treatment of a thyroid imbalance. Which of the following findings indicates that the medication is effective?
- A. Weight gain
- B. Decreased menstrual flow
- C. Clear breath sounds
- D. Increased libido
Correct Answer: A
Rationale: The correct answer is A: Weight gain. Methimazole is used to treat hyperthyroidism, which often causes weight loss due to increased metabolism. If the medication is effective, the client's thyroid hormone levels should normalize, leading to a potential reversal of weight loss and even weight gain. Decreased menstrual flow (B) and increased libido (D) are not direct indicators of methimazole effectiveness. Clear breath sounds (C) could indicate improved respiratory status but are not specific to thyroid function.
A nurse is caring for a client who has a prescription for ceftriaxone. The nurse should monitor the client for which of the following adverse effects?
- A. Concentrated urine
- B. Maculopapular rash
- C. Constipation
- D. Pitting edema
Correct Answer: B
Rationale: The correct answer is B: Maculopapular rash. Ceftriaxone is a cephalosporin antibiotic known to cause hypersensitivity reactions, including skin rashes like maculopapular rash. This type of rash is common with antibiotic use and may indicate an allergic reaction. Monitoring for this adverse effect is crucial to assess the client's response to the medication.
A: Concentrated urine is not a typical adverse effect of ceftriaxone.
C: Constipation is not a common adverse effect associated with ceftriaxone.
D: Pitting edema is not a recognized adverse effect of ceftriaxone.
A nurse is caring for a client who has hypertension and has been taking hydrochlorothiazide. Which of the following laboratory values should the nurse evaluate?
- A. Coagulation studies
- B. Thyroid levels
- C. Complete blood count
- D. Serum electrolyte levels
Correct Answer: D
Rationale: The correct answer is D: Serum electrolyte levels. Hydrochlorothiazide is a diuretic that can lead to electrolyte imbalances, such as hypokalemia and hyponatremia. Monitoring serum electrolyte levels is crucial to prevent complications like arrhythmias. Coagulation studies (A) are not typically affected by hydrochlorothiazide. Thyroid levels (B) are unrelated to this medication. Complete blood count (C) is not directly impacted by hydrochlorothiazide. Thus, evaluating serum electrolyte levels is the most relevant and essential assessment in this scenario.