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A patient is mowing his lawn on a hot Saturday afternoon. He begins to notice chest pain. What should his first action be?
- A. Take his nitroglycerin tablet.
- B. Stop mowing and sit or lie down.
- C. Go inside the house to cool off and get a drink of water.
- D. Call
Correct Answer: B
Rationale: The patient's first action should be to stop mowing and sit or lie down. Chest pain can be a symptom of a heart attack, and it is important for the patient to immediately rest and avoid physical strain. Continuing to mow the lawn could worsen the condition or lead to further complications. Sitting or lying down will help reduce the heart's workload and minimize the exertion on the body. If the chest pain continues or worsens, seeking medical help should be the next course of action.
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A patient about to receive a morning dose of digoxin has an apical pulse of 53 beats/min. What will the nurse do next?
- A. Administer the dos
- C. Administer the dose, and notify the prescriber.
- D. Check the radial pulse for 1 full minut
Correct Answer: D
Rationale: A low apical pulse rate of 53 beats/min indicates bradycardia, which is a side effect of digoxin. Before administering digoxin, the nurse should always check the patient's pulse rate. If the apical pulse is below the facility's specified parameters (typically below 60 beats/min), the nurse should withhold the dose and notify the prescriber immediately. Bradycardia can be an indication of digoxin toxicity, which can be potentially life-threatening, so it is crucial to follow the protocol and seek further guidance before administering the medication.
A client has a new prescription for Methotrexate to treat Rheumatoid Arthritis. Which of the following instructions should the nurse provide?
- A. Take this medication with food to prevent nausea.
- B. Drink plenty of fluids to stay hydrated while on this medication.
- C. Avoid alcohol while taking this medication.
- D. Wear sunscreen when outdoors while taking this medication.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A patient in the clinic reports difficulty tolerating the current ACE inhibitor medication, and questions if another medication could be used. The nurse correctly suspects the prescriber will choose which medication, which affects the renin-angiotensin-aldosterone system?
- A. atenolol
- B. losartan
- C. spironolactone
- D. adenosine
Correct Answer: B
Rationale: Losartan is an angiotensin II receptor blocker (ARB) that affects the renin-angiotensin-aldosterone system (RAAS) and is often used as an alternative to ACE inhibitors. Atenolol (A) is a beta-blocker, spironolactone (C) is a potassium-sparing diuretic, and adenosine (D) is used for arrhythmias. ARBs like losartan are preferred for patients who cannot tolerate ACE inhibitors due to side effects like cough or angioedema.
What is the most life threatening adverse reaction while taking Omeprazole?
- A. Chest pain
- B. Constipation
- C. Clostridium Difficile Associated Diarrhea
- D. Acute interstitial nephritis
Correct Answer: D
Rationale: Acute interstitial nephritis is a rare but serious adverse reaction associated with omeprazole. It is characterized by inflammation of the kidney's interstitial tissue and can lead to kidney dysfunction. Symptoms may include fever, rash, eosinophilia, and impaired renal function. If left untreated, acute interstitial nephritis can progress to acute kidney injury and potentially be life-threatening. Therefore, it is essential to promptly recognize and manage this adverse reaction when taking omeprazole.
A client has a prescription for Trimethoprim-Sulfamethoxazole. Which of the following instructions should the nurse include?
- A. Take the medication with food.
- B. Increase fluid intake.
- C. Expect reddish-orange urine.
- D. Avoid high-protein foods.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.