A nurse is preparing to provide an in-service to the community about misoprostol (Cytotec). Which of the following statements should the nurse include in her teaching to the community?
"An indication for this medication is used in clients taking short-term NSAIDs to prevent duodenal ulcers."
"This medication is indicated for female clients expecting a child or are currently pregnant."
"This medication is contraindicated for female clients expecting a child or are currently pregnant."
"An indication for this medication is used in clients to prevent stress-induced ulcers."
The Correct Answer is C
A. 4 teaspoons – This is incorrect because 4 teaspoons would provide 400 mg (100 mg x 4 = 400 mg), but the correct dose per administration is 400 mg. However, this is not the correct calculation, as only 2 teaspoons are needed.
B. 2 teaspoons – This is correct. The prescribed dose is 400 mg, and since the medication concentration is 100 mg per teaspoon, 2 teaspoons (100 mg x 2 = 200 mg) is the correct dose for each administration.
C. 1 teaspoon – This is incorrect because 1 teaspoon would only provide 100 mg, and the prescribed dose is 400 mg. This is not enough to meet the prescribed dose.
D. 3 teaspoons – This is incorrect because 3 teaspoons would provide 300 mg (100 mg x 3 = 300 mg), which is not enough to meet the prescribed 400 mg dose.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "This medication may cause increased libido." This is incorrect. Cimetidine (Tagamet) can cause side effects such as decreased libido, especially in men. This occurs because the drug inhibits the action of certain hormones, leading to sexual dysfunction.
B. "You may take this medication with antacids to prevent stomach upset." This is incorrect. Cimetidine should not be taken with antacids because antacids can reduce its absorption and effectiveness. It is advised to space the administration of cimetidine and antacids by at least 1 hour.
C. "This medication will neutralize your stomach acid." This is incorrect. Cimetidine works by blocking histamine receptors (H2 receptors), which reduces the production of stomach acid but does not neutralize it.
D. "This medication may cause decreased libido." This is correct. One of the side effects of cimetidine is reduced libido, particularly in male clients, due to its anti-androgenic effects.
Correct Answer is B
Explanation
A. Hypothyroidism: This is incorrect. The client is taking levothyroxine (Synthroid) to treat hypothyroidism, and the symptoms described (diarrhea, weight loss, palpitations, heat intolerance) are more likely associated with excess thyroid hormone, not a lack of it.
B. Thyrotoxicosis: This is correct. The symptoms the client is experiencing—diarrhea, weight loss, palpitations, and heat intolerance—are classic signs of thyrotoxicosis, which occurs when there is an excess of thyroid hormone, possibly due to overtreatment with levothyroxine. These symptoms indicate that the thyroid hormone dose might need adjustment.
C. Addison's Disease: This is incorrect. Addison's disease is characterized by insufficient production of adrenal hormones and would typically manifest with symptoms such as fatigue, hypotension, and hyperpigmentation, not diarrhea or heat intolerance.
D. Cushing's Disease: This is incorrect. Cushing's disease is caused by excess cortisol and would typically result in symptoms such as weight gain, high blood pressure, and a round "moon" face, rather than the symptoms described in the question.
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