A nurse is caring for a female client in a clinic.

Exhibits

A nurse is planning to provide teaching to the client about the new prescription. For each teaching statement made by the nurse, click to specify if the teaching statement is indicated or contraindicated for the client.

“It is expected for your stools to be black while taking this medication.”

“Take this medication with an antacid if you experience heartburn from the medication.”

“Drinking orange juice with this medication decreases the absorption of the medication.”

“You can take this medication with meals if you experience discomfort when taking it on an empty stomach.”

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"}}

Here are the indications for each teaching statement:

“It is expected for your stools to be black while taking this medication.”
- Indicated: This is a common side effect of iron supplements like ferrous sulfate.
“Take this medication with an antacid if you experience heartburn from the medication.”
- Contraindicated: Antacids can interfere with the absorption of iron. It’s better to take the iron supplement with vitamin C or a source of vitamin C to enhance absorption.
“Drinking orange juice with this medication decreases the absorption of the medication.”
- Contraindicated: This statement is incorrect. Vitamin C, found in orange juice, actually enhances the absorption of iron.
“You can take this medication with meals if you experience discomfort when taking it on an empty stomach.”
- Indicated: Taking iron supplements with food can help reduce gastrointestinal discomfort, although it may slightly reduce absorption.

Teaching Statement	Indicated	Contraindicated
It is expected for your stools to be black while taking this medication.	✓
Take this medication with an antacid if you experience heartburn from the medication.		✓
Drinking orange juice with this medication decreases the absorption of the medication.		✓
You can take this medication with meals if you experience discomfort when taking it on an empty stomach.

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Correct Answer is A

Explanation

Choice A rationale
Elevated alanine aminotransferase (ALT) is an adverse effect of simvastatin therapy. Statins, including simvastatin, can cause liver damage, which is indicated by elevated liver enzymes such as ALT2.
Choice B rationale
Elevated troponin T is not typically associated with simvastatin therapy. Troponin T is a marker for cardiac muscle damage, not a common adverse effect of statins.
Choice C rationale
Elevated WBC count is not a known adverse effect of simvastatin therapy. An elevated WBC count usually indicates an infection or inflammation.
Choice D rationale
Elevated thyroid-stimulating hormone (TSH) is not associated with simvastatin therapy. TSH levels are related to thyroid function, not the effects of statins.

A. It is expected for your stools to be black while taking this medication. B. Take this medication with an antacid if you experience heartburn from the medication. C. Drinking orange juice with this medication decreases the absorption of the medication. D. You can take this medication with meals if you experience discomfort when taking on an empty stomach.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"}}

Explanation

A. It is expected for your stools to be black while taking this medication. Contraindicated. Black stools can indicate gastrointestinal bleeding and should be reported to a healthcare provider immediately.

B. Take this medication with an antacid if you experience heartburn from the medication. Contraindicated. Antacids can interfere with the absorption of many medications and should not be taken without consulting a healthcare provider.

C. Drinking orange juice with this medication decreases the absorption of the medication. Indicated. Certain medications can have reduced absorption when taken with acidic beverages like orange juice.

D. You can take this medication with meals if you experience discomfort when taking on an empty stomach. Indicated. Taking medication with food can help reduce gastrointestinal discomfort.

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A nurse is caring for a female client in a clinic. Exhibits A nurse is planning to provide teaching to the client about the new prescription. For each teaching statement made by the nurse, click to specify if the teaching statement is indicated or contraindicated for the client.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing laboratory data for a client who is taking simvastatin to correct plasma lipid levels. Which of the following findings should the nurse identify as an adverse effect of this therapy?

Correct Answer is A

Explanation

A nurse is planning to provide teaching to the client about the new prescription. For each teaching statement made by the nurse, click to specify if the teaching statement is indicated or contraindicated for the client.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"}}

Explanation

A nurse is caring for a client who is receiving an IV infusion of heparin. Which of the following findings should indicate to the nurse the client is at risk for hemorrhage? (Select all that apply.)

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A nurse is caring for a client who received excessive IV fluids in error. Which of the following actions should the nurse take? (Select all that apply.)

A nurse is caring for a client who has an infection and is starting to take gentamicin. Which of the following client laboratory tests should the nurse monitor to detect an adverse effect of the medication?

A nurse is caring for a female client in a clinic.

Exhibits

A nurse is planning to provide teaching to the client about the new prescription. For each teaching statement made by the nurse, click to specify if the teaching statement is indicated or contraindicated for the client.