A nurse is caring for a client in the clinic.

Exhibits

Which of the following client statements indicates to the nurse the teaching was effective?
Select all that apply.

“I will perform oral hygiene using a firm-bristle toothbrush."

“I will avoid taking folic acid supplements while taking this medication."

"I will rinse with saline every 2 hours while awake."

"I will avoid consuming alcoholic beverages."

"I will consume foods that are soft or semisolid."

Answer and Explanation

Correct Answer : C,D,E

A.   A firm-bristle toothbrush can cause further irritation and trauma to the already sensitive and lesioned oral mucosa. A soft-bristle toothbrush is recommended instead. This statement indicates a misunderstanding of proper oral care in the context of stomatitis.
B.   Methotrexate can cause folic acid deficiency, and taking folic acid supplements is often recommended to mitigate some side effects of methotrexate, including oral mucositis. Avoiding folic acid supplements is not correct in this context and indicates a misunderstanding of the appropriate use of supplements.
C.   Saline rinses help to keep the mouth clean and can soothe mucosal irritation and lesions associated with stomatitis. This indicates effective teaching as it is a recommended intervention for managing stomatitis.

D.   Alcohol can irritate the oral mucosa and exacerbate stomatitis. Avoiding alcohol helps prevent further irritation and promotes healing, indicating the client understood the teaching.
E.   Consuming soft or semisolid foods can reduce irritation and trauma to the oral mucosa, which is important for clients with stomatitis. This shows that the client has understood and can implement dietary modifications to manage their condition.

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Correct Answer is D

Explanation

A. Probiotics do not typically interact with warfarin. They generally affect gut health and are not known to have significant effects on blood clotting mechanisms.
B. Coenzyme Q10 has minimal effects on warfarin metabolism. It is mainly involved in cellular energy production and does not significantly alter coagulation.
C. Valerian primarily affects the central nervous system and has no significant interaction with warfarin. It is mainly used for its sedative properties and does not interfere with blood thinning.
D. Ginkgo biloba can increase the risk of bleeding when taken with warfarin due to its antiplatelet effects. This supplement inhibits platelet aggregation, which can significantly enhance the anticoagulant effects of warfarin, raising the risk of hemorrhage.

A. The medication can cause nausea, so take with a meal." B. "This medication can make you light-headed if you stand up too quickly from a seated or lying position." C. "You may initially notice an increase in involuntary movements." D. "Consumption of a high protein meal can reduce the effectiveness of the medication E. "You can experience vivid nightmares." F. "You may notice your urine becomes lighter in color."

Correct Answer is ["A","B","C","D","E"]

Explanation

A. Levodopa/Carbidopa can cause nausea, and taking it with food can help mitigate this side effect. However, it's important to avoid high-protein meals which can interfere with the medication's absorption.
B. Levodopa/Carbidopa can cause orthostatic hypotension, leading to dizziness or light-headedness when standing up quickly. Advising the client to rise slowly can help prevent falls.
C. This is a potential side effect, but it is not as immediate or common as other side effects. It can occur with prolonged use and higher doses.
D. High-protein meals can interfere with the absorption of Levodopa, making it less effective. Clients should be advised to avoid high-protein meals close to the time they take their medication.
E. Vivid dreams or nightmares are a known side effect of Levodopa/Carbidopa. This is consistent with the client's report of having trouble sleeping due to nightmares.
F. Levodopa can cause urine to become darker, not lighter. This is not typically a cause for concern but is a side effect clients should be aware of.

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A nurse is caring for a client in the clinic. Exhibits Which of the following client statements indicates to the nurse the teaching was effective? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is taking warfarin and reports taking several new herbal supplements. The nurse should identify that which of the following supplements is contraindicated for concurrent use with warfarin?

Correct Answer is D

Explanation

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Correct Answer is ["A","B","C","D","E"]

Explanation

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A nurse is caring for a client in the clinic.

Exhibits

Which of the following client statements indicates to the nurse the teaching was effective?
Select all that apply.