A nurse is caring for a female client in a provider's office.

Exhibits

The nurse notifies the client and provides teaching about the newly prescribed medication. For each of the statements made by the client, click to specify whether the statement indicates an understanding or no understanding of the teaching provided.

Client Education: Understanding / No Understanding

"I should avoid taking antacids while on this medication."

"If I experience black stools, I should notify my provider."

"I should rinse my mouth after taking this medication."

"I should take this medication with orange juice."

"I should take my medication on an empty stomach.”

Answer and Explanation

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

A.   Antacids can interfere with the absorption of ferrous sulfate, reducing its effectiveness. The client should avoid taking antacids concurrently with the iron supplement.
B.   Black stools are a common and expected side effect of taking iron supplements. This is generally not a cause for concern and does not require notifying the provider unless accompanied by other symptoms such as pain or blood in the stool.

C.   Liquid forms of iron supplements can stain teeth. Rinsing the mouth after taking the medication can help prevent this staining. Even if taking a tablet, this practice can be a good habit to avoid any residual taste.
D.   Vitamin C, which is present in orange juice, can enhance the absorption of iron from the gastrointestinal tract, making the iron supplement more effective.
E.   Iron supplements are best absorbed on an empty stomach. However, if the client experiences gastrointestinal upset, it can be taken with a small amount of food, but avoiding dairy products and antacids is important.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. White blood cell count (WBC) is not relevant to warfarin therapy.
B. Partial thromboplastin time (PTT) is used to monitor heparin therapy, not warfarin.
C. Total iron-binding capacity is related to iron metabolism and is not relevant to warfarin therapy.
D. Prothrombin time (PT) is used to monitor the effectiveness and dosage of warfarin therapy.

A. Pain level B. Breath sounds C. Heart rate D. Blood pressure

Correct Answer is B

Explanation

A. While pain level is important, it is not the priority in assessing the effectiveness of naloxone, which is given to reverse respiratory depression.
B. Assessing breath sounds is crucial as naloxone's primary function is to restore adequate respiration in opioid toxicity.
C. Monitoring heart rate is important but secondary to ensuring the client can breathe adequately.
D. Blood pressure monitoring is essential but comes after ensuring the client's respiratory status is stable.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer a scheduled dose of warfarin to a client. Which of the following laboratory tests should the nurse review prior to administration?

Correct Answer is D

Explanation

A nurse in an emergency department is administering naloxone to a client who is experiencing opioid toxicity. Following administration of the medication, which of the following should the nurse assess first?

Correct Answer is B

Explanation

A nurse is planning to administer a prefilled syringe of enoxaparin to a client. Which of the following actions should the nurse take?

A nurse is preparing to titrate a continuous nitroprusside infusion for a client. The nurse should plan to titrate the infusion according to which of the following assessments?

A nurse is assessing a client who has a prescription for cefaclor. Which of the following findings should the nurse recognize as an indication of an allergic reaction?

A nurse is providing teaching to a client about how to self-administer subcutaneous injections of enoxaparin. Which of the following instructions should the nurse include?

A nurse is teaching a client who has a new prescription for nitroglycerin sublingual tablets for treating angina. Which of the following instructions should the nurse include in the teaching?

A nurse is assessing the vital signs of a client who is taking amiodarone. The nurse should anticipate which of the following findings as an adverse effect of the medication?

A nurse is caring for a client who is receiving diazepam for moderate (conscious) sedation. Which of the following actions should the nurse take to assess for an adverse reaction to the medication?

A nurse is reviewing a client's medical history before administering a new prescription for atropine. Which of the following client conditions is contraindicated?