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 C

Explanation

Administering the blood as ordered is the right action to take. This is because type O negative blood group is a universal donor and can be safely given to all blood groups.

Completing an incident report is not necessary. This is because type O negative blood group is safe when given to recipients of all blood groups.

Contacting the provider is unnecessary at this point. The type O negative blood group is safe and hence no need for further clarification.

Type O negative blood is a universal donor and is safe in this client. It is therefore, unnecessary to notify the blood bank.

A. Decreased chloride level B. Decreased sodium level C. Decreased potassium level D. Decreased phosphate level

Correct Answer is B

Explanation

Spironolactone is a potassium-sparing diuretic used in the management of ascites associated with liver failure. Its mechanism of action includes blocking the actions of aldosterone, a hormone that promotes sodium retention and potassium excretion in the kidneys. This results in increased urinary sodium excretion and hyponatremia and hyperkalemia.
A. Decreased chloride level is not typically associated with spironolactone use.
C. Spironolactone is a potassium-sparing diuretic, so it leads to an increased potassium level (hyperkalemia)
D. Spironolactone is not associated with decreased phosphate levels.

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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 preparing to administer blood to a client. The unit of blood on hand is type O negative, and the client has type A positive blood. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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?

Correct Answer is B

Explanation

A nurse is teaching a client who has been taking prednisone to treat asthma and has a new prescription to discontinue the medication. The nurse should explain to the client to reduce the dose gradually to prevent Which of the following adverse effects?

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A nurse in an emergency department is preparing to administer theophylline by continuous intravenous (IV) infusion to a client who is experiencing an asthma attack. Which of the following actions should the nurse take?

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