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?

Diabetes mellitus.

Deep vein thrombosis.

Renal disease.

Chronic bronchitis.

Answer and Explanation

The Correct Answer is C

A. Diabetes mellitus: While diabetes mellitus is an important condition to consider for overall health, it is not directly related to the use of magnesium hydroxide and aluminum hydroxide, as these antacids primarily affect the gastrointestinal system and renal function.
B. Deep vein thrombosis: Deep vein thrombosis is related to blood clot formation and does not have a direct connection to the use of magnesium and aluminum hydroxide, which affect the gastrointestinal system and renal function.
C. Renal disease: Magnesium hydroxide and aluminum hydroxide can affect kidney function and cause complications in individuals with renal disease. Magnesium and aluminum are excreted through the kidneys, and impaired renal function can lead to an accumulation of these substances, causing potential toxicity.
D. Chronic bronchitis: Chronic bronchitis affects the respiratory system and is not directly impacted by the use of magnesium and aluminum hydroxide, which are primarily concerned with gastrointestinal and renal function.

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Correct Answer is A

Explanation

A. Restlessness: Restlessness is a sign of excessive levothyroxine sodium, which can lead to symptoms of hyperthyroidism. Other signs include palpitations, nervousness, and insomnia. Overmedication can accelerate metabolism and cause these symptoms.
B. Decreased appetite: Decreased appetite is not typically associated with overmedication of levothyroxine. Instead, a decreased appetite might be related to other conditions or medications but is not a primary indicator of excessive thyroid hormone.
C. Intolerance to cold: Intolerance to cold is more indicative of hypothyroidism or insufficient dosing of levothyroxine rather than overmedication. Excessive levothyroxine usually causes symptoms of hyperthyroidism, such as heat intolerance.
D. Constipation: Constipation is more commonly associated with hypothyroidism or insufficient levothyroxine dosing. Overmedication generally leads to symptoms like diarrhea rather than constipation.

A. Obtain a platelet count weekly. B. Take the medication during pregnancy. C. Use folic acid to protect the liver. D. Store the medication at room temperature.

Correct Answer is B

Explanation

A. Obtain a platelet count weekly: Regular monitoring of platelet counts is important for clients on methotrexate due to the risk of bone marrow suppression and potential thrombocytopenia. This instruction is appropriate and necessary.
B. Take the medication during pregnancy: Methotrexate is contraindicated during pregnancy due to its teratogenic effects and potential to cause fetal harm. It is crucial for clients to avoid using methotrexate while pregnant or planning to become pregnant.
C. Use folic acid to protect the liver: While folic acid is often used to help reduce the side effects of methotrexate, particularly its gastrointestinal effects and potential for liver toxicity, it is not used to "protect the liver" per se. The correct approach is to use folic acid as directed by a healthcare provider, often to mitigate some of the side effects of methotrexate.
D. Store the medication at room temperature: Methotrexate should be stored according to the manufacturer's instructions, which usually involve keeping it at room temperature. This information is correct and does not require additional instruction.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Levothyroxine sodium is prescribed for a client with hypothyroidism. The nurse should instruct the client to report which symptom because it indicates that the client is taking too much levothyroxine sodium.

Correct Answer is A

Explanation

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

Correct Answer is B

Explanation

The healthcare provider prescribes the anticoagulant heparin for a client with a pulmonary embolism. Before initiating the medication, the nurse should ensure that which drug is readily available in case of heparin overdose?

During an annual physical exam, an older adult tells the nurse of using goldenseal as an herbal supplement. Which additional history should the nurse gather from the client?

Digoxin and furosemide were prescribed for a client with chronic heart failure, and the home health nurse is evaluating the client's self-care knowledge of these drugs. Which statement indicates that the client has a good understanding about the use of these drugs?

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?

When administering ceftriaxone sodium IV to a client before surgery, which assessment finding requires immediate intervention by the nurse?

The nurse is assessing the eyes of a client who just received mydriatic eye drops. Which physiological function of the eye will not respond during the therapuetic period after administration of the eye drops?

A male client reports to the nurse that he is experiencing gastrointestinal (GI) distress from a high dose of a corticosteroid and is planning to stop taking the medication. In response to the client's statement, which nursing action is most important for the nurse to Implement?