A nurse is reviewing the chart of a client who is scheduled to have radiological studies of the kidneys performed with the use of IV contrast dye. Which of the following client medications should the nurse withhold prior to the examination?

Pantoprazole

Simvastatin

Valsartan

Metformin

Answer and Explanation

The Correct Answer is D

A) Pantoprazole:
Pantoprazole is a proton pump inhibitor used to reduce stomach acid. It does not typically require withholding before radiological studies with IV contrast dye.

B) Simvastatin:
Simvastatin, a statin medication used to lower cholesterol, does not need to be withheld before radiological studies with IV contrast dye.

C) Valsartan:
Valsartan, an angiotensin II receptor blocker used for hypertension, does not typically need to be withheld before radiological studies with IV contrast dye.

D) Metformin:
Metformin, an oral antidiabetic medication, should be withheld before radiological studies with IV contrast dye. There is a risk of lactic acidosis when metformin interacts with IV contrast dye, particularly in clients with impaired renal function.

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Correct Answer is D

Explanation

A) A client taking a potassium supplement twice a day:
Taking potassium supplements can actually lower the risk of digoxin toxicity because hypokalemia (low potassium levels) increases the risk of digoxin toxicity. Potassium supplements help maintain adequate potassium levels, which is beneficial for clients taking digoxin.

B) A client taking aluminum hydroxide for gastric upset:
Aluminum hydroxide can bind to digoxin in the gastrointestinal tract, reducing its absorption. This interaction can decrease the effectiveness of digoxin rather than increase the risk of toxicity.

C) A client taking chlorpropamide for type 2 diabetes mellitus:
Chlorpropamide does not interact significantly with digoxin or affect electrolyte levels in a way that would increase the risk of digoxin toxicity.

D) A client taking furosemide for chronic hypertension:
Furosemide, a loop diuretic, can cause hypokalemia and hypomagnesemia, which are risk factors for digoxin toxicity. Low potassium levels enhance the toxicity of digoxin by increasing its binding to cardiac tissue receptors, leading to enhanced cardiac effects.

A. "I will hold the inhaler with my non-dominant hand." B. "I will hold my breath at least 10 seconds after inhaling the medication." C. "I will tilt my head forward while inhaling the medication." D. "I will wait 10 min between each inhalation."

Correct Answer is B

Explanation

A) "I will hold the inhaler with my non-dominant hand":
While it's not critical which hand the client uses to hold the inhaler, proper coordination between inhalation and activation of the inhaler is essential for effective medication delivery. This statement indicates awareness of physical handling but does not directly address the correct inhalation technique.

B) "I will hold my breath at least 10 seconds after inhaling the medication":
This statement reflects understanding of a crucial step in using a metered-dose inhaler (MDI). Holding the breath for 10 seconds after inhaling the medication allows for optimal deposition of the medication in the airways, enhancing its therapeutic effect in relieving bronchospasm.

C) "I will tilt my head forward while inhaling the medication":
Tilting the head forward is unnecessary and does not contribute to the effective use of an MDI. Instead, tilting the head slightly backward helps to open the airways and facilitates better inhalation of the medication.

D) "I will wait 10 min between each inhalation":
Waiting 10 minutes between inhalations is not typically required for using an albuterol MDI as prescribed. Clients are usually instructed to take the prescribed number of inhalations according to their healthcare provider's instructions without specific time intervals between doses.

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A nurse is reviewing the chart of a client who is scheduled to have radiological studies of the kidneys performed with the use of IV contrast dye. Which of the following client medications should the nurse withhold prior to the examination?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the morning laboratory results of electrolytes for four clients who are receiving digoxin. Which of the following clients should the nurse identify as being at risk for developing digoxin toxicity?

Correct Answer is D

Explanation

A nurse is reinforcing discharge teaching with a client following an episode of status asthmaticus. The client has a prescription for two inhalations from an albuterol metered-dose inhaler. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

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