A nurse is providing teaching for a client who is on diuretic therapy and has a new prescription for potassium chloride (KCL) 20 mEq extended release PO daily. Which of the following instructions should the nurse provide about the new prescription?

Expect urinary output to decrease while on this medication

Take the extended release tablets whole.

Take the extended release tablets on an empty stomach.

Add an antacid if the medication causes indigestion.

Answer and Explanation

The Correct Answer is B

Extended release potassium chloride tablets should be taken whole to avoid rapid release of the potassium which may lead to hyperkalemia and GI irritation.

A. Diuretic therapy increases urine output through reduction of water reabsorption. Potassium supplementation does not interfere with its action.

C. Taking potassium chloride with food or after meals is recommended to reduce the risk of gastrointestinal irritation or discomfort.

D. Antacids interfere with the absorption of potassium chloride leading to inadequate supplementation.

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Correct Answer is B

Explanation

Methotrexate is immunomodulatory that inhibits DNA synthesis and repair but blocking the metabolism of DNA building blocks. In addition to it disease modifying effects on targeted tissues, it also affects rapidly dividing cells such as the bone marrow leading to reduced platelets that causes bleeding. Information on number of platelets is important to guide the next action

A-Electric brush will worsen the bleeding

C-This is important but not priority as the bleeding is likely related to the medication

D- Explaining is important but does not address the issue at hand

A. Dries mucous membranes B. Suppresses the urge to cough C. Stimulate secretions D. Reduces inflammation

Correct Answer is C

Explanation

Expectorants are agents used in respiratory conditions such as COPD and cystic fibrosis.

They are used to thin mucus and stimulate bronchial secretions.

A. expectorant do not dry mucus membranes but help loosen and thin mucus secreted

B. unlike cough suppressants, expectorants promote coughing to clear the airway

D. expectorants have no effect on the inflammation process

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A nurse is providing teaching for a client who is on diuretic therapy and has a new prescription for potassium chloride (KCL) 20 mEq extended release PO daily. Which of the following instructions should the nurse provide about the new prescription?

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Naxlex Comprehensive Predictor Exams

A nurse in a provider's clinic is assessing a client Who has cancer and a prescription for methotrexate PO. Which of the following actions should the nurse take when the client reports bleeding gums?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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