A client with a history of long-term administration of ibuprofen receives a prescription for misoprostol. Which finding indicates to the practical nurse (PN) that the medication was effective?

Improvement of diarrhea.

Relief of epigastric pain.

Decrease in abdominal cramps.

Change in appetite.

Answer and Explanation

The Correct Answer is B

Misoprostol is a medication used to prevent stomach ulcers in patients who take nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen over a long period. NSAIDs can cause stomach ulcers, and misoprostol works by reducing the amount of acid in the stomach and replacing the protective substances in the stomach that are reduced by NSAIDs. Therefore, relief of epigastric pain (pain in the upper middle part of the abdomen) would indicate that the medication is effective.

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Correct Answer is A

Explanation

Choice A rationale

Sildenafil, commonly known as Viagra, is a medication used to treat erectile dysfunction and pulmonary arterial hypertension. One of the side effects of sildenafil is visual changes. These changes can be temporary or long-lasting, and can potentially be a sign of a serious condition known as non-arteritic anterior ischemic optic neuropathy (NAION), which can lead to permanent vision loss. Therefore, it is crucial for the client to report these symptoms to the healthcare provider immediately for further evaluation and management.

Choice B rationale

While eye drops can be used to treat various eye conditions, they are not typically used to address visual changes caused by sildenafil. Therefore, instilling prescribed eye drops would not be the appropriate response in this situation.

Choice C rationale

Wearing dark glasses when outside can help protect the eyes from sun damage, but it would not address the underlying issue of visual changes caused by sildenafil. Therefore, this would not be the appropriate instruction for the practical nurse to give to the client.

Choice D rationale

The Amsler grid tool is used to detect vision problems resulting from damage to the macula (the central part of the retina) or the optic nerve. However, this tool would not be useful in this context as the visual changes are a side effect of sildenafil. Therefore, monitoring for visual changes each morning using an Amsler grid tool would not be the appropriate instruction for the practical nurse to give to the client.

A. Wear protective clothing when in direct sunlight. B. Suck on hard candy to increase oral secretions. C. Drink 8 ounces (240 mL) of mineral water with each dose. D. Lay supine for 30 minutes after taking the medication. E. None F. None

Correct Answer is C

Explanation

The correct answer is choice C.

Choice A rationale:

Wearing protective clothing when in direct sunlight is not specifically related to taking alendronate. This advice is more relevant for medications that increase photosensitivity, which is not a known side effect of alendronate.

Choice B rationale:

Sucking on hard candy to increase oral secretions is not necessary for patients taking alendronate. This advice is typically given to patients experiencing dry mouth, which is not a common side effect of alendronate.

Choice C rationale:

Drinking 8 ounces (240 mL) of water with each dose of alendronate is crucial. This helps ensure the medication reaches the stomach quickly and reduces the risk of esophageal irritation or ulcers.

Choice D rationale:

Laying supine for 30 minutes after taking alendronate is incorrect. Patients should remain upright (sitting or standing) for at least 30 minutes after taking the medication to prevent esophageal irritation and ensure the medication reaches the stomach properly.

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A client with a history of long-term administration of ibuprofen receives a prescription for misoprostol. Which finding indicates to the practical nurse (PN) that the medication was effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is taking sildenafil 50 mg by mouth (PO) as needed (PRN), reports experiencing visual changes to the practical nurse (PN). Which instruction should the PN give to the client?

Correct Answer is A

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

A patient with Paget’s disease has been prescribed alendronate. What information should the practical nurse (PN) emphasize to the patient?

Correct Answer is C

Explanation

A client who had a recent kidney transplant is taking cyclosporin. Which dietary restriction should the practical nurse reinforce with the client and family members?

The Practical Nurse (PN) is preparing to administer carbidopa-levodopa to a patient with Parkinson’s disease. Which patient finding requires further assessment before administering the medication?

A client with a history of long-term administration of ibuprofen receives a prescription for misoprostol. Which finding indicates to the practical nurse (PN) that the medication was effective?

A patient has been prescribed intravenous (IV) famotidine. Which observation would indicate to the practical nurse (PN) that the medication is having the desired effect?

When a patient is being administered a 20% mannitol intravenous (IV) solution at a rate of 100 g/24 hours (or 70 mg/min), which outcome data should the practical nurse (PN) prioritize in collection?

A client who is scheduled for colorectal surgery is receiving metronidazole intravenously preoperatively. Which problem should the practical nurse report to the charge nurse?

A client with diabetic peripheral neuropathy receives a new prescription for pregabalin. To assess the effectiveness of the medication, which action should the practical nurse (PN) include when assessing the client’s feet?