A nurse is providing teaching for an adult client with arthritis who has been instructed to take ibuprofen for discomfort. Which statement by the client indicates a need for further education?

"I will take this medication with meals to help prevent stomach upset."

"I may experience tinnitus with higher doses of this medication."

"I should stop drinking alcohol."

"I may take up to 1000 mg four times daily for pain."

Answer and Explanation

The Correct Answer is B

A) Taking ibuprofen with meals is a good practice to reduce the risk of stomach upset.

B) Tinnitus is not a typical side effect of ibuprofen, and this statement may indicate a misunderstanding or confusion with another medication.

C) Stopping alcohol consumption is advisable as it can increase the risk of gastrointestinal bleeding when combined with ibuprofen.

D) The dosing information provided is within the typical recommended range for ibuprofen, and the statement is accurate.

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Correct Answer is ["A","B"]

Explanation

A) Hold metformin 24 hours to 48 hours before the CT. This is correct because it reduces the chance of metformin accumulating in the blood and causing lactic acidosis when combined with the contrast dye.

B) Hold metformin 48 hours after the CT. This is also correct because it allows time for the contrast dye to be eliminated from the body before resuming metformin.

C) Double the metformin dose after the CT. This is incorrect and dangerous because it can cause hypoglycemia, low blood sugar, which can lead to confusion, seizures, coma, or death. D) Take metformin as scheduled the day of the CT. This is incorrect and risky because it can result in high levels of metformin in the blood when mixed with the contrast dye, increasing the likelihood of lactic acidosis.

E) Resume metformin at half dose after the CT. This is incorrect and unnecessary because there is no evidence that reducing the dose of metformin after a CT scan with contrast dye has any benefit or reduces any harm.

A. If 60-124, no coverage B. If 125-150, give two units C. If 251-300, give eight units D. If 201-250, give six units

Correct Answer is ["D"]

Explanation

The blood glucose reading before lunch falls within the range of 201-250 mg/dl according to the sliding scale, and the corresponding instruction is to give six units of lispro insulin.

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A nurse is providing teaching for an adult client with arthritis who has been instructed to take ibuprofen for discomfort. Which statement by the client indicates a need for further education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The diabetic client is scheduled for a computed tomography (CT) scan with intravenous contrast. What education will the nurse provide? (Select all that apply.)

Correct Answer is ["A","B"]

Explanation

The nurse is scheduled to administer lispro insulin per sliding scale before meals. The serum blood glucose reading before lunch is 152 mg/dl. Given the following sliding scale, how much insulin lispro should be given before lunch? (Select the appropriate parameter.)

Correct Answer is ["D"]

Explanation

A client is started on warfarin therapy. Identify the appropriate nursing implications associated with this medication. (Select all that apply.)

Which of these comments by a client taking a calcium channel blocker would indicate the need for additional teaching?

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The nurse will include which information when teaching a client about hydroxyzine?

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