Nokea
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.
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A patient taking imatinib voices concern about gaining 5 pounds in the past week. Which response by the nurse is correct?
- A. Weight gain is a common side effect of imatinib.
- B. You should stop taking imatinib immediately.
- C. This is likely due to fluid retention, which is dangerous.
- D. You must follow a strict diet to avoid further weight gain.
Correct Answer: A
Rationale: Weight gain is a known side effect of imatinib, a tyrosine kinase inhibitor used to treat certain cancers. The nurse should reassure the patient that this is a common occurrence and not necessarily dangerous. However, the patient should be monitored for signs of fluid retention, such as swelling or shortness of breath, which could indicate a more serious condition. Stopping the medication abruptly is not recommended unless advised by the healthcare provider. Dietary changes may help, but they should be discussed with the healthcare team to ensure they do not interfere with treatment.
When educating a client who has a prescription for Propranolol, what instruction should the healthcare provider include?
- A. Take this medication with food.
- B. Discontinue the medication if you feel fatigued.
- C. Expect to have decreased heart rate with this medication.
- D. Do not stop taking this medication abruptly.
Correct Answer: D
Rationale: The correct instruction is not to stop taking Propranolol abruptly. Abrupt cessation can lead to rebound hypertension or other cardiac complications. It is essential for the client to taper off the medication gradually under the supervision and guidance of a healthcare provider to avoid adverse effects.
A client has a new prescription for Dabigatran. Which of the following instructions should be included?
- A. Take the medication with food.
- B. Store the capsules in a pill organizer.
- C. Crush the medication before swallowing.
- D. Expect frequent headaches while taking this medication.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client has a new prescription for Nevirapine, an NNRTI. Which of the following statements should the nurse include in discharge teaching?
- A. Take this medication with food to increase absorption.
- B. Avoid alcohol while taking this medication.
- C. Take this medication at the same time every day.
- D. Take this medication on an empty stomach.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client has a new prescription for Labetalol. Which of the following instructions should be provided?
- A. Take the medication with food.
- B. Monitor your blood glucose levels.
- C. Expect a rapid heart rate.
- D. Increase your intake of high-sodium foods.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.