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A patient is taking oral acetazolamide, a carbonic anhydrase inhibitor, to decrease intraocular pressure. When providing drug education, which side effect will the nurse advise the patient to anticipate?
- A. Increased weight
- B. Light sensitivity
- C. Burning or stinging of the eyes
- D. Increased urine output
Correct Answer: D
Rationale: Acetazolamide, a carbonic anhydrase inhibitor, promotes diuresis by inhibiting the reabsorption of bicarbonate in the kidneys, leading to increased urine output. This is a common side effect that patients should be informed about. Increased weight (A) is not typically associated with acetazolamide. Light sensitivity (B) and burning or stinging of the eyes (C) are more commonly associated with topical ophthalmic medications, not systemic acetazolamide.
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When educating a client starting a new prescription for simvastatin, which instruction should the nurse provide?
- A. Take the medication in the morning.
- B. Report any muscle pain immediately.
- C. Avoid taking the medication with grapefruit juice.
- D. Take the medication at bedtime.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A nurse is caring for a client with a history of overdosage of aspirin. The nurse suspects which of the following can be an early sign of aspirin toxicity?
- A. Unsteady gait
- B. Drowsiness
- C. Confusion
- D. Tinnitus
Correct Answer: D
Rationale: Tinnitus (ringing in the ears) is an early sign of aspirin toxicity. Aspirin poisoning can cause salicylate intoxication, which includes symptoms like tinnitus, nausea, vomiting, confusion, rapid breathing, and sweating. Other signs of aspirin toxicity may include respiratory alkalosis, metabolic acidosis, hyperthermia, and even seizures. Monitoring for tinnitus is important in clients who may have aspirin toxicity as it serves as an early warning sign to prevent further complications.
What classification of drug is Penicillin?
- A. Antiarrhythmic
- B. Anticonvulsant
- C. Antibacterial
- D. Mood stabilizer
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client has a new prescription for Ondansetron. Which of the following statements should the nurse include?
- A. Take the medication 30 minutes before chemotherapy.
- B. Expect your urine to turn orange.
- C. Increase your intake of high-fiber foods.
- D. Avoid drinking grapefruit juice.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A patient will be receiving a thrombolytic drug as part of the treatment for acute myocardial infarction. The nurse explains to the patient that this drug is used for which purpose?
- A. To relieve chest pain
- B. To prevent further clot formation
- C. To dissolve the clot in the coronary artery
- D. To control bleeding in the coronary vessels
Correct Answer: C
Rationale: Thrombolytic drugs, also known as clot busters, are used to dissolve blood clots, specifically in the coronary artery for patients with acute myocardial infarction (heart attack). These medications work by activating the body's natural plasminogen system to break down the clot and restore blood flow to the heart muscle. By helping to dissolve the clot, thrombolytic therapy can help to minimize damage to the heart muscle and improve the patient's outcome following a heart attack. It is crucial for patients to receive this treatment promptly after the onset of symptoms for the best chance of success.