A nurse is reviewing medications for a patient with OA. The patient states: "I take Tylenol every day, and I also drink four glasses of wine every night." Which nursing action is most appropriate?
Document the findings and take no further action.
Advise the patient to increase water intake when using Tylenol.
Tell the patient to stop taking Tylenol and switch to aspirin.
Notify the provider about the patient's alcohol use with Tylenol
The Correct Answer is D
A. Document the findings and take no further action: Simply documenting without intervention fails to address a significant safety concern. Chronic alcohol use with acetaminophen increases the risk of hepatotoxicity and requires provider awareness.
B. Advise the patient to increase water intake when using Tylenol: Hydration does not prevent liver damage caused by the combination of acetaminophen and alcohol. While adequate fluid intake is generally healthy, it does not mitigate hepatotoxic risk.
C. Tell the patient to stop taking Tylenol and switch to aspirin: Switching to aspirin may introduce additional risks, including gastrointestinal bleeding, especially in older adults. Medication changes should be made under provider guidance rather than unilateral instruction by the nurse.
D. Notify the provider about the patient's alcohol use with Tylenol: The combination of daily acetaminophen and significant alcohol intake can cause liver injury. Informing the healthcare provider ensures appropriate assessment, potential medication adjustment, and patient education to prevent hepatotoxicity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Joint aspiration of synovial fluid: Analysis of synovial fluid obtained via joint aspiration is the definitive diagnostic test for gout. The presence of monosodium urate crystals under polarized light microscopy confirms the diagnosis.
B. MRI of the joint: MRI can detect joint inflammation and soft tissue changes but cannot specifically identify urate crystals. It is not a definitive test for gout.
C. Serum uric acid level: Elevated uric acid may support a diagnosis, but it is not definitive because levels can be normal during an acute flare or elevated without gout. It is a supportive, not confirmatory, test.
D. X-ray of the affected joint: X-rays can reveal chronic joint changes such as erosions in long-standing gout but do not confirm an acute diagnosis. Imaging is useful for assessing complications but not for definitive diagnosis.
Correct Answer is D
Explanation
A. “I will report any signs of depression to my provider.": Monitoring mood is important because interferon beta can contribute to depression, but reporting symptoms ensures early intervention. This statement reflects appropriate understanding and does not compromise treatment efficacy.
B. "I will rotate injection sites with each dose.": Rotating injection sites reduces local skin reactions and maintains absorption. This demonstrates proper self-administration technique and supports effective treatment.
C. “I may have flu-like symptoms when I start this medication.": Flu-like symptoms are a common side effect of interferon beta. Recognizing this allows the client to manage symptoms appropriately, usually without affecting treatment efficacy.
D. “I can stop the medication when I feel better.": Stopping interferon beta prematurely can reduce its effectiveness in preventing MS relapses and disease progression. This statement indicates misunderstanding of the need for continuous therapy and requires further education to ensure consistent disease management.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.