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. I should use this medication in its hand inhaler every day.: Tiotropium is a long-acting anticholinergic medication used for managing COPD, and it should be used daily, even if symptoms are not present. This statement indicates that the client understands the need for consistent daily use of the medication to manage COPD effectively.
B. When I cough up sputum, the secretions should be less thick.: Tiotropium is not specifically aimed at changing the thickness of sputum. It primarily works to open the airways, so while it may help with overall symptoms, it doesn't directly affect sputum viscosity.
C. I will use my other inhaler in between uses.: Tiotropium is usually prescribed for regular use as part of a long-term management plan, and the client may have other inhalers for different purposes (e.g., rescue inhalers for acute symptoms). However, the statement about using another inhaler in between uses may not be specific to the proper use of tiotropium itself.
D. If I have sudden shortness of breath, I will use this inhaler.: Tiotropium is a long-acting inhaled medication meant for maintenance therapy and is not intended for immediate relief of acute symptoms. For sudden shortness of breath, a rescue inhaler (usually containing a short-acting bronchodilator) would be more appropriate.

A. Warfarin. B. Vitamin K. C. Protamine sulfate. D. Diphenhydramine HCI.

Correct Answer is C

Explanation

A. Warfarin: Warfarin is an oral anticoagulant used for long-term anticoagulation, but it is not used for reversing the effects of heparin. They are different classes of anticoagulants with distinct reversal agents.
B. Vitamin K: Vitamin K is used to reverse the effects of warfarin, not heparin.
C. Protamine sulfate: Protamine sulfate is the specific antidote for heparin overdose. It neutralizes the effects of heparin and is used to quickly reverse its anticoagulant effects in case of an overdose or excessive bleeding.
D. Diphenhydramine HCl: Diphenhydramine is an antihistamine and has no role in reversing anticoagulants.

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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

A client diagnosed with chronic obstructive pulmonary disease (COPD) is given a new prescription for tiotropium via an inhalation device. Which statement indicates that the client understands the Instructions for using this medication?

Correct Answer is A

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?

Correct Answer is C

Explanation

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

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.

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

Based on the capillary glucose measurement, a client is to receive 10 units of regular insulin. The client's medication drawer contains one vial of a 70/30 mixture of regular Insulin and Isophane insulin How should the nurse prepare the prescribed dose?

To detect common untoward effects of phenytoin, the nurse should assess a client with a seizure disorder for which sign or symptom?

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?

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?