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A patient is prescribed estradiol (Estrace) for hormone replacement therapy (HRT). What should the nurse monitor during this therapy?
- A. Blood glucose levels
- B. Liver function tests
- C. Kidney function tests
- D. Blood pressure
Correct Answer: B
Rationale: Liver function tests should be monitored during estradiol therapy due to the potential for liver dysfunction.
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A patient is starting on alendronate (Fosamax) for the treatment of osteoporosis. What instructions should the nurse provide to ensure the effectiveness of the medication?
- A. Take the medication with a full glass of water and remain upright for at least 30 minutes.
- B. Take the medication with milk to enhance calcium absorption.
- C. Take the medication at bedtime to ensure absorption during sleep.
- D. Take the medication with food to prevent nausea.
Correct Answer: A
Rationale: Alendronate should be taken with a full glass of water, and patients should remain upright for at least 30 minutes to prevent esophageal irritation and ensure proper absorption.
A physician is noting the recent vital signs for several clients on an acute medical ward of a hospital. Which hospital client with a noninfectious diagnosis would be most likely to have a fever?
- A. A 71-year-old female with limited mobility, chronic obstructive pulmonary disease (COPD), and vascular dementia
- B. A 33-year-old female with a postoperative deep vein thrombosis and pulmonary embolism
- C. A 51-year-old obese male with hepatic encephalopathy secondary to alcohol abuse
- D. A 71-year-old male with congestive heart failure and peripheral edema
Correct Answer: B
Rationale: Pulmonary emboli can produce fever, even without infection.
Following a knee injury, a football player is taking ibuprofen, a nonsteroidal anti-inflammatory drug, for the control of pain. Which drug action is most likely to result in diminished sensation of pain for the player?
- A. Inhibition of cyclooxygenase (COX) enzymes
- B. Activation of opioid receptors
- C. Blocking of NMDA receptors
- D. Stimulation of serotonin receptors
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A male patient receiving androgen therapy is concerned about side effects. What is the most serious adverse effect the nurse should monitor for during this therapy?
- A. Increased risk of cardiovascular events
- B. Increased risk of bone fractures
- C. Increased risk of venous thromboembolism
- D. Increased risk of mood changes
Correct Answer: A
Rationale: Androgen therapy can increase the risk of cardiovascular events, including heart attack and stroke, particularly in older patients.
The parents of a 4-year-old girl have sought care because their daughter has admitted to chewing and swallowing imported toy figurines that have been determined to be made of lead. Which of the following blood tests should the care team prioritize?
- A. White blood cell levels with differential
- B. Red blood cell levels and morphology
- C. Urea and creatinine levels
- D. Liver function panel
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.