A nurse is reinforcing teaching with a client who is taking ibuprofen to treat chronic hip pain. Which of the following instructions should the nurse include in the teaching?
"Expect to experience an increase in weight while taking this mediation."
"Have regular eye exams done while taking this medication."
"Take this medication 2 hours prior to taking an antacid medication."
"Limit your intake of alcohol to one glass of wine each evening."
The Correct Answer is C
A. Weight gain is not a typical adverse effect of ibuprofen; the client should be monitored for other side effects instead.
B. Regular eye exams are not required for ibuprofen therapy; this is more relevant for medications like hydroxychloroquine or corticosteroids.
C. Antacids can interfere with the absorption of ibuprofen, so it is recommended to take ibuprofen at least 2 hours before or after antacids to ensure proper effectiveness.
D. Alcohol can increase the risk of gastrointestinal bleeding with ibuprofen, so clients should be advised to avoid or limit alcohol entirely rather than consume it regularly, even in small amounts.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Long-term use of high-dose glucocorticoids can lead to osteoporosis, increasing the risk of compression fractures in the spine (back and neck). Monitoring bone health and implementing preventive measures such as calcium and vitamin D intake, weight-bearing exercise, and bone density scans is important.
B. Clients should increase, not limit, calcium-rich foods to help prevent bone loss associated with prolonged glucocorticoid therapy.
C. Glucocorticoids can cause hyperglycemia, not hypoglycemia. Blood glucose should be monitored regularly, not just annually.
D. Glucocorticoids are immunosuppressive, not immunostimulatory; long-term use increases susceptibility to infections.
Correct Answer is B
Explanation
A. Adenosine is not used for HIV treatment; management of HIV requires specific antiretroviral therapy. Administering adenosine for this purpose would be ineffective and inappropriate.
B. Adenosine is a rapid-acting antiarrhythmic that works by temporarily blocking conduction through the atrioventricular (AV) node. This brief interruption in AV nodal conduction can terminate paroxysmal supraventricular tachycardia (PSVT) and helps clinicians distinguish between sinus tachycardia and SVT on the electrocardiogram. Its short half-life (less than 10 seconds) makes it ideal for diagnostic and therapeutic use in acute settings.
C. Adenosine is not indicated for asthma; long-term asthma control requires bronchodilators and anti-inflammatory agents. Using adenosine in this context would provide no benefit and could cause adverse effects.
D. Adenosine does not relieve muscle spasms; medications like muscle relaxants are appropriate for managing musculoskeletal spasms, not antiarrhythmic agents.
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