Nokea
The nurse is caring for the client with CA receiving piroxicam. Which instruction is most important for the nurse to include in the medication teaching plan?
- A. Take piroxicam with food to decrease stomach irritation.
- B. If your pain is severe, you can take another piroxicam pill.
- C. Lie down until piroxicam is effective for controlling your pain.
- D. You can take ginkgo for an energy boost when taking piroxicam.
Correct Answer: A
Rationale: A: Piroxicam (Feldene) should be taken with food and a full glass of water to prevent gastric irritation and possible bleeding. B: Piroxicam is administered in a once-daily dose, and additional doses should not be taken. C: Because of the gastric irritation and possible reflux, the client should sit upright after taking piroxicam. D: Ginkgo interacts with piroxicam, increasing the risk for bleeding.
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The client admitted for inpatient treatment of an anxiety disorder has been taking fluoxetine for the past 9 months. The HCP prescribes a new antianxiety medication and discontinues fluoxetine. What is the nurse's most appropriate intervention?
- A. Monitor the client closely for dizziness and lethargy due to discontinuation syndrome.
- B. Teach the client relaxation measures to use while adjusting to the new antianxiety drug.
- C. Call the HCP to question whether fluoxetine should be iżtapered rather than discontinued.
- D. Reassure the client that there is little risk of adverse effects when discontinuing fluoxetine.
Correct Answer: D
Rationale: Because of its long half-life, there is a relatively low risk of adverse effects when discontinuing fluoxetine (Prozac). The client should be reassured and taught about the change of antianxiety medication.
Which of the following is not a nursing responsibility when preparing the client for central line insertion?
- A. advancing the guidewire
- B. explaining the procedure to the client
- C. maintaining sterile technique
- D. ensuring necessary consents are signed
Correct Answer: A
Rationale: The nursing responsibilities include explaining the procedure to the client, ensuring necessary consents are signed according to the facility policy, and maintaining sterile technique when preparing the equipment and supplies. The guidewire will be advanced by the practitioner inserting the central line.
The LPN is preparing a client for discharge and the discharge medications include phenobarbital. Which of these client statements would indicate a need for reinforced teaching about this medication?
- A. I will need to avoid eating excessive leafy greens.
- B. It's best to take this medication with food.
- C. I can't wait to get back to my nightly glass of wine.
- D. I should try to take this medication at the same time every day.
Correct Answer: C
Rationale: Phenobarbital should not be taken with alcohol as it is a barbiturate. Alcohol may increase the sedative effect.
The client has an order for an IV piggyback of Ceftriaxone 750 mg in 50 mL D5W to run over 30 minutes. What is the appropriate drip rate?
- A. 100 mL/hr
- B. 150 mL/hr
- C. 200 mL/hr
- D. 50 mL/hr
Correct Answer: A
Rationale: (50 mL / 30 min) × (60 min / 1 hr) = 100 mL/hr
Which of the following should not be included in the teaching for clients who take oral iron preparations?
- A. Mix the liquid iron preparation with antacids to reduce GI distress
- B. Take the iron with meals if GI distress occurs
- C. Liquid forms should be taken with a straw to avoid discoloration of tooth enamel
- D. Oral forms should be taken with juice, not milk
Correct Answer: A
Rationale: Iron should not be mixed with antacids, as antacids can reduce iron absorption. The other options are appropriate: taking with meals can reduce GI distress, using a straw prevents tooth discoloration, and juice enhances absorption while milk can inhibit it.