A daily dose of aspirin 325 mg PO is most beneficial for an adult client with which medical diagnosis?

Gout.

Sepsis.

Myocardial infarction.

Rheumatoid arthritis.

Answer and Explanation

The Correct Answer is C

A. Gout: Aspirin is not typically used for treating gout. Gout is commonly treated with medications like allopurinol or colchicine, and nonsteroidal anti-inflammatory drugs (NSAIDs) are used selectively.
B. Sepsis: Aspirin is not a primary treatment for sepsis. Sepsis is usually treated with antibiotics, fluid resuscitation, and supportive care.
C. Myocardial infarction: Aspirin is beneficial for preventing further myocardial infarctions (heart attacks) in patients with a history of cardiovascular events or at high risk. It works by inhibiting platelet aggregation, thereby reducing the risk of blood clot formation that can lead to heart attacks.
D. Rheumatoid arthritis: Although aspirin can be used for symptomatic relief in rheumatoid arthritis due to its anti-inflammatory properties, it is not the primary treatment. Other medications, such as disease-modifying antirheumatic drugs (DMARDs) and nonsteroidal anti-inflammatory drugs (NSAIDs), are typically used.

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Correct Answer is B

Explanation

A. Until a smaller angle can be restored: Open-angle glaucoma is characterized by a gradual increase in intraocular pressure due to the obstruction of the outflow of aqueous humor, not by a narrow angle. The treatment aims to control eye pressure rather than restore the angle, which is more relevant to acute angle-closure glaucoma.
B. For long-term control of normal eye pressure: Open-angle glaucoma is a chronic condition that requires ongoing management to maintain normal intraocular pressure and prevent damage to the optic nerve. The prescribed eye drops help in managing intraocular pressure over the long term to prevent vision loss.
C. For long-term control of pain and swelling: Open-angle glaucoma typically does not present with pain and swelling. The goal of treatment is to control intraocular pressure rather than address pain or swelling, which are not primary symptoms of this condition.
D. Until the excess pressure is reduced: While initial treatment aims to reduce intraocular pressure, open-angle glaucoma requires ongoing use of medications to maintain normal pressure levels and prevent progression of the disease. Discontinuing the medication after initial pressure reduction can lead to a return of elevated intraocular pressure.

A. Mix the capsule granules with water. B. Request the pharmacist to provide tablets. C. Open the capsule to crush the granules. D. Sprinkle the granules in applesauce.

Correct Answer is A

Explanation

A. Mix the capsule granules with water: Lansoprazole capsules contain granules that are typically not intended to be crushed or chewed. The appropriate method for administering these granules via an NGT is to mix them with water to ensure they are delivered properly. This approach aligns with the medication’s guidelines for administration through a tube.
B. Request the pharmacist to provide tablets: While tablets might be a suitable alternative, it is not the immediate action required if the client already has capsules. The focus should be on appropriately administering the prescribed form.
C. Open the capsule to crush the granules: Crushing or opening capsules is generally not recommended unless specifically instructed by the manufacturer or pharmacist. This can alter the drug’s effectiveness and release properties.
D. Sprinkle the granules in applesauce: Lansoprazole granules are not meant to be mixed with food like applesauce. They should be mixed with water to ensure proper dissolution and administration.

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A daily dose of aspirin 325 mg PO is most beneficial for an adult client with which medical diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with open-angle glaucoma asks the nurse how long the prescribed eye drops will need to be used. Which response made by the nurse is accurate?

Correct Answer is B

Explanation

A client who has dysphagia after a cerebral vascular accident (CVA) receives a new prescription for lansoprazole capsules via nasogastric tube (NGT). Which action should the nurse implement prior to administering the medication?

Correct Answer is A

Explanation

A client receives a prescription for allopurinol. Which information provided by the client requires additional instruction by the nurse?

A patient with heart failure (HF) develops hyperaldosteronism and spironolactone is prescribed. Which instruction should the nurse include in the patient's plan of care?

A male client tells the home health nurse that he has started taking magnesium hydroxide and aluminum hydroxide to treat occasional heartburn. It is most important for the nurse to review the client's medical history regarding the presence of which disorder?

A client with hepatic encephalopathy is receiving lactulose. Which assessment provides the nurse with the best information to evaluate the client's therapeutic response to the medication?

The nurse administers risedronate to a client with osteoporosis at 0700. The client asks for a glass of milk to drink with the medication. Which action should the nurse take?

A client with a history of angina reports the onset of chest pain. The nurse determines that the heart rate is 104 beats/minute and the blood pressure is 138/86 mm Hg. A transdermal nitroglycerin patch was applied 30 minutes ago to the right upper chest. Which action should the nurse take?

The nurse is assessing a client who was recently diagnosed with Parkinson's disease (PD) and is taking carbidopa-levodopa. The client is concerned that the medication is not working. Which intervention should the nurse implement first?