A client is diagnosed with atrial fibrillation and has experienced a transient ischemic attack (TI

A diuretic medication

An oral anticoagulant medication

A beta blocker medication

An antihyperuricemic medication

Answer and Explanation

The Correct Answer is B

Choice A reason:

A diuretic medication is generally used to remove excess fluid from the body and treat conditions such as hypertension and heart failure. While it can be part of the management plan for atrial fibrillation if there is fluid overload, it is not specifically used to prevent thromboembolic events like TIA, which are a major concern in atrial fibrillation patients.

Choice B reason:

An oral anticoagulant medication is the most appropriate choice for a patient with atrial fibrillation who has experienced a TIA. Anticoagulants, such as warfarin or newer direct oral anticoagulants (DOACs), are used to prevent blood clots from forming and reduce the risk of stroke and other thromboembolic events. This choice directly addresses the primary goal of reducing the risk of future TIAs or strokes in patients with atrial fibrillation.

Choice C reason:

A beta blocker medication can be useful in managing atrial fibrillation by controlling the heart rate and reducing the risk of symptomatic episodes. However, beta blockers do not address the risk of thromboembolism, which is critical in the context of a patient with a history of TIA. Thus, while beneficial for rate control, they do not serve the primary purpose of preventing strokes in this scenario.

Choice D reason:

An antihyperuricemic medication is used to lower uric acid levels and treat conditions like gout. It is not relevant to the management of atrial fibrillation or the prevention of thromboembolic events. Including this option does not align with the clinical needs of a patient with atrial fibrillation and a history of TIA.

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Correct Answer is A

Explanation

Choice A reason:

Having another nurse witness the wasted medication is a standard procedure in healthcare settings to ensure accountability and prevent misuse of controlled substances. This practice helps maintain a record of the amount of medication wasted and provides a second verification, ensuring compliance with regulations and institutional policies.

Choice B reason:

Returning the wasted medication to the medication dispenser is not an appropriate practice. Medication dispensers are designed to store medications in their original, intact forms, and returning partially used doses can lead to contamination or misuse. Additionally, it does not comply with protocols for controlled substance disposal.

Choice C reason:

Placing the wasted portion of the medication in the sharps container is incorrect. Sharps containers are meant for disposing of needles and other sharp objects, not for liquid medications. This practice does not ensure proper disposal of controlled substances and could pose a safety risk.

Choice D reason:

Exiting the medication room to call the healthcare provider for an order matching the dosages is unnecessary and impractical. The correct procedure involves documenting the waste and having a second nurse witness it, rather than seeking additional orders.

A. Vegetables B. Smoked sausage C. Chicken D. Cherries

Correct Answer is B

Explanation

Choice A reason:

Vegetables are generally safe and are not typically restricted in the diet of a client taking an MAOI. They do not contain high levels of tyramine, which can interact adversely with MAOIs.

Choice B reason:

Smoked sausage should be eliminated from the diet as it contains high levels of tyramine. Consuming tyramine-rich foods while taking MAOIs can lead to hypertensive crises, making it essential to avoid such foods.

Choice C reason:

Chicken is a safe protein choice and does not need to be eliminated from the diet of a client on an MAOI. It does not pose a risk of high tyramine levels.

Choice D reason:

Cherries are safe to consume and do not contain high levels of tyramine, so they do not need to be restricted in the diet of a client taking an MAOI.

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A client is diagnosed with atrial fibrillation and has experienced a transient ischemic attack (TI

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Naxlex Comprehensive Predictor Exams

A nurse has withdrawn a narcotic from the medication dispenser and must waste a portion of the medication. What should the nurse do?

Correct Answer is A

Explanation

A nurse is modifying the diet of a client who is prescribed an MAOI. Which of the following foods should the nurse eliminate?

Correct Answer is B

Explanation

A nurse is caring for a client who has anemia and is being evaluated to determine the cause. The nurse has an order for a guaiac stool test. The nurse understands the purpose of the test is to check the stool for which of the following substances?

A nurse is preparing to administer amoxicillin 320 mg PO every 12 hours to an infant. The amount available is amoxicillin suspension 400 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

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