A nurse is teaching a client who is starting subcutaneous leuprolide for the treatment of prostate cancer. Which of the following information should the nurse include in the teaching?

Increase calcium intake.

Keep the solution cold for administration.

This medication can cause low blood glucose levels.

This medication can cause constipation.

Answer and Explanation

The Correct Answer is A

A. Increase calcium intake: Leuprolide can cause a decrease in bone density, increasing the risk of osteoporosis. Therefore, the nurse should advise the client to increase calcium and vitamin D intake to help maintain bone health.

B. Keep the solution cold for administration: Leuprolide should be stored at room temperature, not refrigerated, for subcutaneous administration.

C. This medication can cause low blood glucose levels: Leuprolide does not typically affect blood glucose levels. However, it can cause other endocrine-related side effects, such as hot flashes and reduced libido.

D. This medication can cause constipation: Constipation is not a common side effect of leuprolide. Instead, leuprolide is more likely to cause side effects such as hot flashes and loss of bone density.

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Correct Answer is D

Explanation

A. Lactated Ringer's: This solution is isotonic and is typically used for fluid resuscitation, not for hypotonic treatment.

B. 0.9% sodium chloride: This is isotonic saline and does not qualify as a hypotonic solution.

C. 3% sodium chloride: This solution is hypertonic and used to treat severe hyponatremia, not hypotonic hydration.

D. 0.45% sodium chloride: This is the correct choice as it is a hypotonic solution that can help to hydrate cells by providing free water.

A. "Remove the patch for two to four hours daily." B. "Apply a new patch each day after waking up." C. "Cover the patch with plastic wrap." D. "Replace the existing patch with a new patch as soon as anginal pain begins."

Correct Answer is B

Explanation

A. "Remove the patch for two to four hours daily.": This is incorrect because transdermal nitroglycerin patches should be worn continuously for 24 hours, with a scheduled time to remove them (usually overnight) to prevent tolerance.

B. "Apply a new patch each day after waking up.": This instruction is correct; clients should apply a new patch daily to ensure continuous therapeutic effects while also allowing a break to reduce tolerance.

C. "Cover the patch with plastic wrap.": This is incorrect; covering the patch with plastic wrap can alter the absorption of the medication and is not necessary.

D. "Replace the existing patch with a new patch as soon as anginal pain begins.": This is incorrect; clients should not replace the patch immediately for angina. Instead, they should use sublingual nitroglycerin for immediate relief and follow the prescribed patch schedule.

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A nurse is teaching a client who is starting subcutaneous leuprolide for the treatment of prostate cancer. Which of the following information should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a prescription for a hypotonic IV fluid. Which of the following solutions should the nurse expect to administer?

Correct Answer is D

Explanation

A nurse is providing teaching to a client who has a new prescription for transdermal nitroglycerin patches to treat angina pectoris. Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

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