Nokea
How is lithium typically administered?
- A. Intravenously
- B. Intramuscularly
- C. Orally
- D. Sublingually
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A client has a new prescription for Clonidine. Which of the following instructions should the nurse include?
- A. Expect to feel drowsy.
- B. Increase your intake of high-potassium foods.
- C. Take the medication with grapefruit juice.
- D. Avoid foods high in fat.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When administering an Antiulcer Agent, you should be more cautious when administering it to:
- A. A healthy 27-year-old patient
- B. Patient with renal failure
- C. Elderly patients
- D. Choices B & C
Correct Answer: D
Rationale: When administering an antiulcer agent, caution is warranted in patients with renal failure due to the potential impact on drug metabolism and excretion. Additionally, elderly patients may be more susceptible to adverse effects from antiulcer agents due to age-related physiological changes. Therefore, it is important to be more cautious when administering antiulcer agents to patients with renal failure and elderly patients.
Phenytoin is an antiarrhythmic and anticonvulsant that has an unlabeled use for:
- A. headaches
- B. cold remedy
- C. neurothpathic pain
- D. antianxiety
Correct Answer: C
Rationale: Phenytoin is commonly used as an anticonvulsant and antiarrhythmic medication. In addition to its approved uses, phenytoin has demonstrated effectiveness in managing neuropathic pain, which is pain caused by damage or dysfunction of the nervous system. While this use for phenytoin is off-label, it has been shown to be beneficial in certain individuals with neuropathic pain conditions. However, it is essential for a healthcare provider to prescribe phenytoin off-label for neuropathic pain, as the dosage and monitoring may differ from its standard use for epilepsy and arrhythmias.
A client has a prescription for Alendronate. Which of the following instructions should the nurse include?
- A. Take this medication before bed.
- B. Take the medication with food.
- C. Sit upright for at least 30 minutes after taking the medication.
- D. Expect to have frequent headaches while on this medication.
Correct Answer: C
Rationale: The correct instruction for a client prescribed Alendronate is to sit upright for at least 30 minutes after taking the medication. Alendronate can cause esophageal irritation, and maintaining an upright position helps prevent this adverse effect by reducing the risk of reflux of the medication into the esophagus.
A client with peptic ulcer disease is being taught about managing the condition. Which of the following statements indicates an understanding of the teaching?
- A. I should eat small, frequent meals that are low in fiber.
- B. I will limit my intake of caffeine-containing beverages.
- C. I should take NSAIDs to relieve my pain.
- D. I will drink milk before bedtime to decrease acid production.
Correct Answer: B
Rationale: Limiting intake of caffeine-containing beverages is important for managing peptic ulcer disease as caffeine can stimulate gastric acid secretion, which may worsen the condition. It is advisable to choose decaffeinated beverages and avoid caffeinated drinks to help reduce the risk of aggravating the ulcer.