A nurse is providing teaching to a client who takes opioid pain medication and has a new prescription for docusate sodium. Which of the following statements by the client indicates an understanding of the teaching?

“I will take the medication for diarrhea”

“I can take this medication along with mineral oil."

"I should drink 4 ounces of water when I take the medication."

"It might take up to 3 days for the medication to work."

Answer and Explanation

The Correct Answer is D

Docsate takes effect in 1-3 days. It is a stool softener that works by increasing the amount of water in stool making it easier to pass across the gut. It does not take effect immediately.

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Correct Answer is B

Explanation

Liver cirrhosis interferes with the synthesis of vitamin K dependent coagulation factors leading to a prolonged prothrombin time (PT). Administration of vitamin K improves clotting function by replenishing the deficient clotting factors.
A. Heparin is an anticoagulant medication that works by inhibiting blood clotting. It can further increase the risk of bleeding.
C. Warfarin is an oral anticoagulant medication commonly used to prevent blood clots and like heparin, increases risk of bleeding.
D. Ferrous sulfate is an iron supplement used to treat iron deficiency anemia but not effect on coagulation.

A. Spironolactone B. Allopurinol C. Zolpidem D. Aprazolam

Correct Answer is B

Explanation

Allopurinol is a uric lowering agent that reduces the conversion on hypoxanthine to uric acid lowering its levels in blood. This prevents formation of uric acid crystals which are deposited in joints and tissues in gouty arthritis.

A. Spironolactone is a potassium sparing diuretic used in management of ascites, hypertension and heart failure

C. Zolpidem is a sedative-hypnotic agent used in management of sleep wake disorders

D. Alprazolam is a benzodiazepine used in management of anxiety disorders

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A nurse is providing teaching to a client who takes opioid pain medication and has a new prescription for docusate sodium. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has cirrhosis and a prothrombin time of 30 seconds. Which of the following medications should the nurse plan to administer?

Correct Answer is B

Explanation

A nurse is caring for a client who has developed gout. Which of the following medications should the nurse prepare to administer?

Correct Answer is B

Explanation

A nurse is teaching a client who has a new prescription for ibuprofen to treat hip pain. Which of the following instructions should the nurse include in the teaching?

A nurse is caring for a client who has a new prescription for ferrous sulfate tablets twice daily for iron-deficiency anemia. The client asks the nurse why the provider instructed that she take the ferrous sulfate between meals. Which of the following responses should the nurse make?

A nurse is teaching a client who has multiple sclerosis about a new prescription for baclofen. Which of the following instructions should the nurse include in the teaching?

A nurse is teaching a client who has a new prescription for docusate. Which of the following information should the nurse include in the teaching?

A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following findings is a manifestation of levothyroxine overdose?

A nurse is teaching a client about taking an expectorant to treat a cough. The nurse should explain that this type of medication has which of the following actions?

A nurse is reviewing the laboratory results of a client who has liver failure with ascites and is receiving spironolactone. Which of the following findings should the nurse expect?

A nurse in a critical care unit is caring for a client who is postoperative following a right pneumonectomy. After extubation from the ventilator, in which of the following positions should the client be placed?