A nurse is consulting a formulary about a client's new prescription for raloxifene. The nurse should identify that this medication is used to treat which of the following conditions?
Osteoporosis
Urinary tract infection
Hypothyroidism
Deep-vein thrombosis
The Correct Answer is A
A. Osteoporosis. A nurse is consulting a formulary about a client's new prescription for raloxifene. The medication raloxifene is used to treat osteoporosis. It is a selective estrogen receptor modulator (SERM) that helps to prevent and treat bone loss in postmenopausal women. It works by mimicking the effects of estrogen on bone tissue, helping to prevent bone breakdown and maintain bone density.
B. Urinary tract infection: UTIs are typically treated with antibiotics.
C. Hypothyroidism: Hypothyroidism is treated with thyroid hormone replacement.
D. Deep-vein thrombosis: DVT is typically treated with anticoagulant medications like heparin and warfarin.
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Related Questions
Correct Answer is A
Explanation
A. Insert the needle at least 5 cm (2 in) from the umbilicus: Correct. Subcutaneous injections, including heparin, should be given in fatty tissue away from major blood vessels and bony prominences. The recommended sites are usually the abdomen, thighs, or upper arms.
B. Aspirate before injecting the medication: Incorrect. Aspiration is not required for subcutaneous injections because they are administered into the subcutaneous fat layer, not a blood vessel. Aspiration could cause trauma and discomfort to the client.
C. Massage the site after administering the medication: Incorrect. Massaging the site after administering heparin can cause bruising or discomfort. Instead, it's recommended to apply gentle pressure with a sterile gauze pad for a few seconds.
D. Use a 21-gauge needle for the injection: Incorrect. Subcutaneous injections are typically administered with smaller gauge needles, such as 25-30 gauge, to minimize pain and tissue damage.
Correct Answer is A
Explanation
A. "I will need to have blood levels drawn."
Theophylline is a medication used to treat respiratory conditions like asthma and chronic obstructive pulmonary disease (COPD). It is important to monitor the blood levels of theophylline because it has a narrow therapeutic range – meaning that there is a fine line between a therapeutic dose and a toxic dose. Regular blood tests help to ensure that the client is receiving the appropriate dose for their condition.
B. "I can take my medication in the morning with my coffee." - Theophylline should be taken consistently with meals, so taking it with coffee might not be ideal as it can affect its absorption.
C. "I may sprinkle the medication in applesauce." - Theophylline is usually taken as a sustained-release capsule, which means it is designed to release the medication slowly over time. Crushing or sprinkling the medication can disrupt this mechanism and lead to unintended consequences.
D. "I should limit my fluid intake while on this medication." - There's no requirement to limit fluid intake with theophylline, and in fact, adequate hydration can help prevent some side effects of the medication.
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