A client has an order for loperamide as needed (PRN). For which condition would the nurse administer this medication?

Abdominal pain

Infection

Diarrhea

Constipation

Answer and Explanation

The Correct Answer is C

A. Abdominal pain: Loperamide is not indicated for isolated abdominal pain and may actually worsen symptoms if used inappropriately, especially if the pain is related to a bowel obstruction or inflammatory condition.

B. Infection: While diarrhea may accompany infection, loperamide is typically avoided in infectious diarrhea, especially when caused by bacteria or toxins, because it can delay pathogen clearance and worsen the illness.

C. Diarrhea: Loperamide is an antidiarrheal agent that slows intestinal motility, allowing more fluid absorption in the colon. It is commonly prescribed PRN for symptomatic relief of non-infectious diarrhea.

D. Constipation: Administering loperamide in the setting of constipation would exacerbate the condition. It further reduces bowel motility, increasing the risk of fecal impaction or ileus.

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Correct Answer is A

Explanation

A. Phenazopyridine alleviates pain and burning during urination: Phenazopyridine is a urinary analgesic that provides symptomatic relief from irritation caused by infections or urinary tract procedures. It specifically helps reduce burning, urgency, and discomfort during urination.

B. Phenazopyridine decreases urinary frequency to control an overactive bladder: This drug does not affect bladder muscle activity or control urinary frequency. Medications like oxybutynin or tolterodine are more appropriate for overactive bladder management.

C. Phenazopyridine is used to treat bacterial urinary tract infections (UTI): Phenazopyridine is not an antibiotic and does not eliminate the bacteria causing UTIs. It only relieves symptoms while antibiotic therapy treats the underlying infection.

D. Phenazopyridine stimulates a hypotonic bladder to increase urine output: It has no diuretic or bladder-stimulating effects. Phenazopyridine's role is strictly analgesic within the urinary tract and does not influence bladder tone or urine production.

A. Deepening voice B. Hypogonadism C. Vaginal dryness D. Menstruation cessation E. Decrease libido

Correct Answer is ["A","C","D"]

Explanation

A. Deepening voice: Testosterone promotes thickening of the vocal cords and changes in the larynx, leading to a deeper voice. This is a common and usually permanent masculinizing effect experienced during gender-affirming hormone therapy.

B. Hypogonadism: Hypogonadism refers to reduced function of the gonads. Testosterone therapy is used to treat gender dysphoria, not to induce hypogonadism. This is not a typical or expected outcome of initiating therapy in transgender men.

C. Vaginal dryness: Vaginal tissues become thinner and drier with testosterone due to decreased estrogen levels. Clients may notice discomfort, especially during sexual activity, and may require additional care or lubrication products.

D. Menstruation cessation: One of the expected early effects of testosterone therapy is the cessation of menses, usually within 6 months. This occurs as testosterone suppresses the hypothalamic-pituitary-ovarian axis.

E. Decrease libido: Testosterone usually increases, not decreases, libido. Many clients report heightened sexual desire as one of the early effects of masculinizing hormone therapy.

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A client has an order for loperamide as needed (PRN). For which condition would the nurse administer this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client diagnosed with a bladder infection and is prescribed phenazopyridine. When the client asks why am I taking this prescription"? How should the nurse respond?

Correct Answer is A

Explanation

Which physical change would the nurse tell the female patient (transitioning from female to male) beginning testosterone therapy to anticipate? Select all that apply.

Correct Answer is ["A","C","D"]

Explanation

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