A nurse is providing discharge teaching to a client who has angina and a prescription for aspirin. Which of the following client statements indicates to the nurse an understanding of the teaching?

"I should expect drowsiness while taking this medication."

"I need to avoid consuming green, leafy vegetables while taking this medication."

"I will take the aspirin daily on an empty stomach."

"I should notify my provider if I develop ringing in my ears."

Answer and Explanation

The Correct Answer is D

A. "I should expect drowsiness while taking this medication.": Aspirin does not typically cause drowsiness. Clients should be informed about other possible side effects, but fatigue is not a primary concern.

B. "I need to avoid consuming green, leafy vegetables while taking this medication.": Unlike warfarin, aspirin’s anticoagulant effect is not significantly influenced by dietary vitamin K intake. There is no need to avoid green, leafy vegetables while taking aspirin.

C. "I will take the aspirin daily on an empty stomach.": Taking aspirin on an empty stomach can increase the risk of gastrointestinal irritation and ulcers. It is generally recommended to take it with food or water to reduce stomach upset.

D. "I should notify my provider if I develop ringing in my ears.": Tinnitus can be an early sign of aspirin toxicity, especially with long-term use or higher doses. Notifying the healthcare provider if this occurs indicates proper understanding of the potential adverse effects.

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Correct Answer is C

Explanation

A. Decreased white blood cells: Erythropoietin specifically stimulates red blood cell production in the bone marrow. White blood cell counts are not directly affected by this medication, so a decrease would not indicate effectiveness.

B. Increased calcium: Calcium levels are unrelated to erythropoietin therapy. Changes in calcium do not reflect the medication’s ability to stimulate erythropoiesis.

C. Increased hemoglobin: Erythropoietin promotes red blood cell production, which increases hemoglobin and hematocrit levels. An elevation in hemoglobin indicates the medication is effectively stimulating erythropoiesis.

D. Decreased BUN: Blood urea nitrogen reflects kidney function and protein metabolism. While erythropoietin is often used in clients with chronic kidney disease, a decrease in BUN is not a direct measure of the drug’s effectiveness.

A. "Be sure to sit when you urinate and double flush the toilet with the lid closed." B. "Take precautions in crowds to avoid people who are ill." C. "It is important that you avoid contact with young children and pregnant people." D. "Refrain from returning to work for the first few days of therapy."

Correct Answer is B

Explanation

A. "Be sure to sit when you urinate and double flush the toilet with the lid closed.": This instruction relates to precautions for clients taking medications that can be excreted in urine, such as certain chemotherapeutic agents, and is not relevant to methimazole therapy.

B. "Take precautions in crowds to avoid people who are ill.": Methimazole can cause agranulocytosis, leading to a decreased ability to fight infections. Clients should be advised to avoid large crowds and report symptoms like fever or sore throat promptly.

C. "It is important that you avoid contact with young children and pregnant people.": Methimazole does not require strict avoidance of these populations under normal circumstances, so this is not standard discharge teaching.

D. "Refrain from returning to work for the first few days of therapy.": Routine work restrictions are not necessary when starting methimazole unless the client experiences adverse effects such as severe fatigue or infection.

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A nurse is providing discharge teaching to a client who has angina and a prescription for aspirin. Which of the following client statements indicates to the nurse an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory findings of a client who is taking erythropoietin. Which of the following results indicates the medication is effective?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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