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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.
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What is a major side effect of Albuterol?
- A. Headache
- B. Vomiting
- C. Paradoxical Bronchospasm
- D. Hypertension
Correct Answer: C
Rationale: Paradoxical bronchospasm is a major side effect of Albuterol, which is a medication commonly used to treat bronchospasm in conditions such as asthma and chronic obstructive pulmonary disease (COPD). It is characterized by a sudden worsening of breathing difficulty after using the medication, rather than an improvement. This adverse reaction can be serious and requires immediate medical attention. It is crucial for healthcare providers to monitor patients for this side effect when using Albuterol to ensure proper management and prevent complications.
When converting from IV heparin to oral warfarin (Coumadin) therapy, the prescriber monitors which of the following to determine the next appropriate dose of warfarin?
- A. Platelet levels
- B. aPTT
- C. Red blood cell count
- D. PT/INR
Correct Answer: D
Rationale: When converting from IV heparin to oral warfarin therapy, the prescriber monitors the Prothrombin Time (PT) and International Normalized Ratio (INR) to determine the next appropriate dose of warfarin. PT measures the time it takes for blood to clot and INR helps standardize PT results. These tests are crucial in evaluating and adjusting the dosage of warfarin to achieve the desired anticoagulant effect while minimizing the risk of bleeding. Monitoring PT/INR levels regularly is essential to ensure that the patient receives the correct dose of warfarin for their specific condition and to prevent complications. Platelet levels, aPTT, and red blood cell count are not typically used to monitor warfarin therapy.
A client has a new prescription for Clonidine. What instruction should the nurse include during teaching?
- A. Take the medication with food.
- B. Expect to feel drowsy or lightheaded.
- C. Increase your fluid intake.
- D. Avoid foods high in fat.
Correct Answer: B
Rationale: The correct instruction when teaching a client about Clonidine is to expect to feel drowsy or lightheaded. Clonidine can cause these side effects, especially when starting the medication. The nurse should advise the client to avoid activities that require alertness until they understand how the medication affects them.
A healthcare provider is caring for a 4-year-old child who is resistant to taking medication. Which of the following strategies should the healthcare provider use to elicit the child's cooperation?
- A. Offer the child a choice of taking the medication with juice or water
- B. Tell the child it is candy
- C. Hide the medication in a large dish of ice cream
- D. Tell the child they will have a shot instead
Correct Answer: A
Rationale: Offering children choices empowers them and can help in gaining cooperation, especially when it comes to taking medications. By providing options like taking the medication with juice or water, the child feels a sense of control and may be more willing to cooperate. This approach respects the child's autonomy and can make the experience more positive for both the child and the healthcare provider.
What is the antidote for Warfarin?
- A. Vitamin D
- B. Vitamin C
- C. Vitamin K
- D. Vitamin B6
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.