A nurse is teaching about medications to a group of clients. Which of the following statements by a client indicates a need for further teaching?
"I will take morphine during sickle cell crisis."
"I will take propranolol to manage high blood pressure."
"I will take aspirin to reduce pain from my peptic ulcer.
"I will take ibuprofen for arthritis."
The Correct Answer is C
A. "I will take morphine during sickle cell crisis." – Morphine is commonly used for managing severe pain during a sickle cell crisis.
B. "I will take propranolol to manage high blood pressure." – Propranolol is a beta-blocker used to treat hypertension, along with other conditions like anxiety and arrhythmias.
C. "I will take aspirin to reduce pain from my peptic ulcer." – Needs further teaching. Aspirin is an NSAID that can irritate the gastric mucosa, increase acid secretion, and worsen or cause peptic ulcers. It should not be taken by clients with a history of peptic ulcer disease unless specifically directed by a provider.
D. "I will take ibuprofen for arthritis." – Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), is commonly used to reduce pain and inflammation in arthritis. However, long-term use should be monitored due to potential GI and renal effects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "I eat a green salad every night with dinner." – While green leafy vegetables contain vitamin K, which can affect warfarin, consistent intake is acceptable. The key is to avoid sudden changes in vitamin K consumption.
B. "I take this medication at the same time each day." – This is correct practice. Taking warfarin at the same time daily helps maintain a stable INR.
C. "I had my INR checked three weeks ago." – While INRs should be checked regularly, especially when dosing changes or risks arise, a three-week interval may be acceptable if the INR has been stable.
D. "I have started taking ginger root to treat my joint stiffness." – (Needs further teaching). Ginger root can increase the risk of bleeding when taken with warfarin due to its antiplatelet effects. Clients should be instructed to avoid herbal supplements that may interact with warfarin unless approved by their provider.
Correct Answer is D
Explanation
A. Notify the client's provider. – While the provider must be notified, the first priority is to assess the client for any adverse effects from the medication error.
B. Administer the medication to the correct client. – This can be done later, but the immediate concern is the safety of the client who received the wrong medication.
C. Fill out an occurrence form. – This is an important later step in reporting the medication error, but not the first action.
D. Check the client's vital signs. – Nifedipine is a calcium channel blocker that can lower blood pressure and heart rate. The priority action is to assess the client’s condition, especially vital signs, to detect and respond to any adverse effects promptly.
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