Nokea
The nurse has provided discharge instructions to a client who was prescribed niacin. Which of the following statements, if made by the client, would indicate effective teaching?
- A. This medication may increase my blood pressure.
- B. I may experience flushing while taking this medication.
- C. This medication may raise my total cholesterol.
- D. I may feel fatigued and tired after taking this medication.
Correct Answer: B
Rationale: Niacin commonly causes flushing, a harmless but notable side effect, indicating effective teaching. It does not increase blood pressure or cholesterol and is not typically associated with fatigue.
You may also like to solve these questions
The following scenario applies to the next 1 items.
The medical-surgical nurse is performing an admission assessment
Item 1 of 1
Current Medications
losartan 25 mg by mouth daily
spironolactone 25 mg by mouth daily
multivitamin 1 tablet by mouth daily
acetaminophen 500 mg by mouth daily, as needed for pain
pantoprazole 40 mg by mouth daily
warfarin 2 mg by mouth daily
aspirin 81 mg by mouth daily
The nurse performs medication reconciliation for this client. Which four (4) medications does the nurse recognize as a potential drug interaction?
- A. losartan
- B. spironolactone
- C. multivitamin
- D. acetaminophen
- E. pantoprazole
- F. warfarin
- G. aspirin
Correct Answer: A,B,F,G
Rationale: Losartan and spironolactone can increase hyperkalemia risk when combined. Warfarin and aspirin together increase bleeding risk due to their anticoagulant and antiplatelet effects, respectively. Multivitamin, acetaminophen, and pantoprazole are less likely to cause significant interactions in this context.
The nurse is reviewing prescriptions for assigned clients. Which prescriptions require follow-up with the primary healthcare provider? A client with
- A. congestive heart failure prescribed diltiazem.
- B. hypertension prescribed clonidine.
- C. diabetes insipidus prescribed hydrocortisone.
- D. pulmonary emboli prescribed clopidogrel.
- E. atrial fibrillation prescribed amiodarone.
- F. bacterial cystitis prescribed valacyclovir.
Correct Answer: C,F
Rationale: Hydrocortisone is not used for diabetes insipidus (desmopressin is typical), and valacyclovir (an antiviral) is incorrect for bacterial cystitis (requires antibiotics). Diltiazem, clonidine, clopidogrel, and amiodarone are appropriate for their respective conditions.
The clinic nurse is caring for a 38-year-old male
Item 2 of 6
Nurses' Notes
1456 - 38-year-old male reports to the clinic for an annual physical examination and to establish care. The client reports no acute concerns but does admit to gaining a few pounds over the past several months. The client reports having decreased physical activity. He reports his dietary habits have changed because of his job, where he relies on fast food for breakfast and lunch. On assessment, the client is alert and completely oriented to person, place, and situation. The skin is warm and dry—patches of darkening and thickening of the skin around the skin folds. Lung sounds are clear; S1/S2 heart tones are auscultated. Peripheral pulses palpable, 2+. Bowel sounds are active in all quadrants. He denies any dysuria and reports his sex drive has decreased over the past several months. He reports occasional constipation, which causes him to use stool softeners. He reported no medical or surgical history besides an appendectomy four years ago. His parents are living, his mother is being treated for ovarian cancer, and his father has hypothyroidism and had a myocardial infarction two years ago. He recently started taking daily over-the-counter aspirin because of his father's cardiovascular disease. He takes a multivitamin 'when he remembers.' He is separated from his wife and currently going through what he describes as a bitter divorce which has been 'stressing him out.' He has one child. He denies using tobacco products but drinks one to two glasses of wine weekly. Current weight 269 pounds (122.27 kilograms); Body Mass Index 29; 40 inches (102 cm) waist size. Oral temperature 98.6°F (37° C) Pulse 92 Respiratory Rate 17 Blood Pressure 141/92 mm Hg Pulse oximetry 96% on room air
The nurse reviews the nurses' notes and vital signs. Select the additional diagnostic data necessary to help interpret the findings
- A. Basic metabolic panel (BMP)
- B. Lipid panel
- C. Colonoscopy
- D. Thyroid panel
- E. Prostate-specific antigen (PSA)
- F. 24-hour urine collection
Correct Answer: A,B,D
Rationale: BMP (to assess glucose and electrolytes), lipid panel (to evaluate cardiovascular risk), and thyroid panel (due to family history of hypothyroidism) are necessary to interpret findings like hypertension, obesity, and skin changes. Colonoscopy, PSA, and 24-hour urine collection are not directly relevant.
The nurse is caring for a client receiving a continuous infusion of norepinephrine. The nurse should plan to monitor which of the following for the client? Select all that apply.
- A. Blood pressure
- B. Intracranial pressure
- C. Intravenous site
- D. Urine output
- E. Blood glucose
Correct Answer: A,C,D,E
Rationale: Norepinephrine, a vasopressor, requires monitoring blood pressure (to assess efficacy), IV site (for extravasation risk), urine output (to evaluate perfusion), and blood glucose (as it can cause hyperglycemia). Intracranial pressure is not typically monitored unless neurological issues are present.
The nurse is caring for a client experiencing polyarthritis associated with rheumatic fever. The nurse anticipates a prescription for which medication?
- A. Prazosin
- B. Naproxen
- C. Verapamil
- D. Furosemide
Correct Answer: B
Rationale: Naproxen, an NSAID, is used to reduce inflammation and pain in polyarthritis associated with rheumatic fever. Prazosin, verapamil, and furosemide are not indicated for this condition.