Nokea
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.
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What information should you provide to your patient if they are taking sennosides? Select All That Apply.
- A. Sennosides should be used for short-term therapy
- B. The medication does not cure hypothyroidism
- C. The color of the urine may change to pink, red, violet, yellow, or brown
- D. Make sure to use other forms of bowel regulation
Correct Answer: A
Rationale: When educating a patient taking sennosides, it is important to emphasize that these laxatives should be used for short-term therapy only. The medication does not address hypothyroidism, so this information is not relevant. Patients should be informed that the color of their urine may change to various colors like pink, red, violet, yellow, or brown, which is a common side effect of sennosides. It is advisable to incorporate other forms of bowel regulation alongside sennosides for optimal bowel health.
A patient has been ordered the powdered form of the bile acid sequestrant colestipol. Which of the following does the nurse identify as true?
- A. The nurse should have the patient swallow the dose of the colestipol powder one
- C. The powder should be dissolved and immediately administere
- D. The colestipol should be administered 1 hour before or 4 to 6 hours after any other oral medication.
Correct Answer: D
Rationale: The nurse should identify that colestipol should be administered 1 hour before or 4 to 6 hours after any other oral medication. This is because colestipol can interfere with the absorption of other medications due to its binding properties in the gut. Administering it separately from other medications helps to avoid any potential interaction and ensures the effectiveness of both the colestipol and other medications. Additionally, colestipol is typically taken with meals to enhance its tolerability and effectiveness in lowering cholesterol levels.
What is the therapeutic action of Phenytoin?
- A. Antidiabetic
- B. Anticonvulsant
- C. Mood stabilizer
- D. Antianxiety agent
Correct Answer: B
Rationale: Phenytoin is primarily used as an anticonvulsant to prevent and control seizures. It works by stabilizing electrical activity in the brain, making it effective in managing conditions like epilepsy. Antidiabetic medications are used to regulate blood sugar levels, mood stabilizers help manage mood disorders, and antianxiety agents are used to reduce anxiety symptoms, none of which are the primary therapeutic action of Phenytoin.
When administering IV Acyclovir to a client with Varicella, what action should the nurse take?
- A. Administer a stool softener
- B. Decrease fluid intake following infusion
- C. Infuse Acyclovir over 1 hr
- D. Monitor for hypotension
Correct Answer: C
Rationale: When administering IV Acyclovir to a client with Varicella, the nurse should infuse the medication over at least 1 hour to prevent nephrotoxicity. Rapid infusion can lead to adverse effects such as renal damage. Therefore, it is crucial to follow the recommended infusion rate to ensure the client's safety and well-being.
A client has a new prescription for Metronidazole to treat an infection. Which of the following instructions should the nurse include?
- A. Avoid alcohol while taking this medication.
- B. Take this medication on an empty stomach.
- C. Increase your intake of dairy products while taking this medication.
- D. Avoid direct sunlight while taking this medication.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.