Nokea
When teaching a client with a new prescription for Ipratropium, which of the following instructions should the nurse include?
- A. This medication can be used as a rescue inhaler.
- B. This medication should be taken before albuterol.
- C. Wait 5 minutes between medications if two inhaled medications are prescribed.
- D. Ipratropium can be used before exercise.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A nurse is teaching a client who has a new prescription for Furosemide. Which of the following dietary instructions should the nurse provide?
- A. Increase your intake of potassium-rich foods.
- B. Limit your intake of calcium-rich foods.
- C. Avoid consuming dairy products.
- D. Increase your intake of fiber-rich foods.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client is prescribed with carbamazepine (Tegretol) for the treatment of bipolar disorder. Which of the following laboratory results indicates that the client is experiencing a side effect of this medication?
- A. Neutrophil count of 1,200/mm3.
- B. Platelet count of 160,000/mm3.
- C. Uric acid level of 4mg/dl.
- D. SGPT (ALT) level 50 units per liter of serum.
Correct Answer: A
Rationale: Carbamazepine can cause leukopenia, including neutropenia, as a side effect. A neutrophil count of 1,200/mm3 is below the normal range and indicates a potential adverse effect. Platelet count, uric acid, and SGPT levels are within normal ranges and do not indicate side effects. Therefore, the neutrophil count is the concerning result.
Which of the following antiparkinsonian drugs may cause vasospasm?
- A. Amantadine
- B. Bromocriptine
- C. Carbidopa
- D. Entacapone
Correct Answer: B
Rationale: Bromocriptine, a dopamine D2 agonist used in Parkinson's, has ergot alkaloid properties, which can cause vasospasm by stimulating vascular smooth muscle receptors, occasionally leading to Raynaud's-like symptoms or digital ischemia. Amantadine, an NMDA antagonist, enhances dopamine release but lacks vasoconstrictive effects. Carbidopa inhibits dopa decarboxylase, aiding levodopa delivery without vascular impact. Entacapone, a COMT inhibitor, extends levodopa's duration but doesn't affect vessels. Ropinirole, a non-ergot agonist, avoids vasospasm. Bromocriptine's ergot-derived vasoconstriction, though rare, distinguishes it among antiparkinsonian drugs, requiring caution in patients with vascular risks.
Samuel, a 65-year-old patient comes into the hospital for an anginal attack. Which of the following is an important nursing intervention when administering Nitroglycerine?
- A. If the patient has more pain, apply another transdermal patch and keep the others on
- B. Don't wash the skin after removing a transdermal patch
- C. Remove the transdermal patch 10-12 hours every night to prevent tolerance
- D. Monitor blood pressure only after administration
Correct Answer: C
Rationale: The correct nursing intervention when administering Nitroglycerine to a patient like Samuel is to remove the transdermal patch 10-12 hours every night to prevent tolerance. Tolerance can develop rapidly with Nitroglycerine, leading to decreased effectiveness in managing anginal attacks. By removing the patch at night, the body has a chance to "reset" and reduce the likelihood of tolerance development. This practice helps maintain the drug's effectiveness and ensures better symptom control for the patient.
A healthcare professional is preparing to administer vancomycin to a client. The professional should monitor for which of the following adverse effects?
- A. Nephrotoxicity
- B. Hepatotoxicity
- C. Red Man Syndrome
- D. Diarrhea
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.