A client has been prescribed 81 mg of enteric coated aspirin every morning. Which of these statements by the client warrants further education?
"I should chew this medication thoroughly."
"I can take this with food to avoid stomach irritation."
"I can give this low-dose aspirin to my five-year-old if he has a fever."
"I should expect ringing in my ears, as this is normal."
"If I have black, tarry stools, I should call my provider."
Correct Answer : A,C,D
a. This statement warrants further education because enteric-coated aspirin is specifically designed to be absorbed in the small intestine and should not be chewed. Chewing the enteric coated aspirin can interfere with its protective coating and may lead to stomach irritation.
b. This statement is correct. Taking the aspirin with food can help minimize stomach irritation.
c. This statement warrants further education. Aspirin, even in low doses, should not be given to young children without consulting a healthcare provider due to the risk of Reye's syndrome.
d. This statement warrants further education. Ringing in the ears (tinnitus) is not a normal side effect of aspirin, and persistent symptoms should be reported to the healthcare provider.
e. This statement is correct. Black, tarry stools can indicate gastrointestinal bleeding, and the healthcare provider should be notified promptly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
A) Unreadable prescriptions can lead to medication errors, so clear and legible prescriptions are essential.
B) Using barcode scanning can help prevent errors by verifying the client's identity and ensuring the right medication is administered.
C) Complicated drug names that look or sound alike can contribute to errors, making it important to use caution and double-check.
D) Confusing drugs with similar packaging is a preventable cause of errors, and efforts should be made to differentiate packaging.
E) Administration route errors, like giving a drug intravenously instead of intramuscularly, are preventable through proper verification and adherence to procedures.
Correct Answer is B
Explanation
a) Stopping all antibiotics and implementing strict use of alcohol-based hand sanitizer is not the appropriate response to the observed symptoms. The focus should be on addressing the potential infection.
b) The symptoms suggest the possibility of Clostridium difficile infection, and discontinuing the cephalosporin is crucial. Vancomycin or metronidazole is commonly used to treat C. difficile infection.
c) Requesting an additional antibiotic to override the effects of the cephalosporin is not the appropriate course of action. The focus should be on discontinuing the causative antibiotic.
d) Increasing the dose of cephalosporin is contraindicated in the presence of suspected C. difficile infection. Isolation measures may be implemented, but the priority is discontinuing the causative antibiotic and initiating appropriate treatment for the infection.
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