During an annual physical exam, an older adult tells the nurse of using goldenseal as an herbal supplement. Which additional history should the nurse gather from the client?

Changes in weight.

Recent symptoms of infection.

Sleep disturbances.

Forgetfulness.

Answer and Explanation

The Correct Answer is B

A) Changes in weight: While changes in weight can be important in assessing overall health, they are not specifically linked to the use of goldenseal. This information may be relevant for general health assessment but does not directly relate to potential effects of the herbal supplement.
B) Recent symptoms of infection: Goldenseal is often used for its antimicrobial properties, and its use might affect the body's response to infection. Gathering information about recent symptoms of infection helps in assessing if there might be an interaction between the herbal supplement and the client’s current health status, especially since goldenseal can impact immune response and may interfere with other medications used for infections.
C) Sleep disturbances: While sleep disturbances can be a concern in older adults, they are not directly related to the use of goldenseal. This information may be useful for general health assessments but does not specifically address potential interactions or side effects of goldenseal.
D) Forgetfulness: Forgetfulness, although important, is not directly related to the use of goldenseal. This symptom might warrant further evaluation but is not the primary concern regarding the use of this herbal supplement.

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Correct Answer is A

Explanation

A. Immediately after completion of the IV dose and 30 minutes before the next administration of the medication: This timing is correct for monitoring vancomycin levels. The peak level is typically measured immediately after the completion of the infusion (though peak levels are less commonly required for vancomycin), and the trough level is measured just before the next dose is due, 30 minutes before administration. This approach helps in evaluating the medication's efficacy and safety.
B. One hour after completion of the IV dose and one hour before the next administration of the medication: This timing is not ideal. The peak level for vancomycin is usually measured immediately after the dose rather than one hour later. Trough levels are measured closer to the next dose, typically 30 minutes before the next dose.
C. Two hours after completion of the IV dose and two hours before the next administration of the medication: Measuring levels two hours after the dose completion is too late for a peak level. The trough level should be measured closer to the next dose, generally 30 minutes before the next administration.
D. Thirty minutes into the administration of the IV dose and 30 minutes before the next administration of the medication: Measuring the level 30 minutes into the infusion is not appropriate for peak levels, which are typically measured.

A. I should use this medication in its hand inhaler every day. B. When I cough up sputum, the secretions should be less thick. C. I will use my other inhaler in between uses. D. If I have sudden shortness of breath, I will use this inhaler.

Correct Answer is A

Explanation

A. I should use this medication in its hand inhaler every day.: Tiotropium is a long-acting anticholinergic medication used for managing COPD, and it should be used daily, even if symptoms are not present. This statement indicates that the client understands the need for consistent daily use of the medication to manage COPD effectively.
B. When I cough up sputum, the secretions should be less thick.: Tiotropium is not specifically aimed at changing the thickness of sputum. It primarily works to open the airways, so while it may help with overall symptoms, it doesn't directly affect sputum viscosity.
C. I will use my other inhaler in between uses.: Tiotropium is usually prescribed for regular use as part of a long-term management plan, and the client may have other inhalers for different purposes (e.g., rescue inhalers for acute symptoms). However, the statement about using another inhaler in between uses may not be specific to the proper use of tiotropium itself.
D. If I have sudden shortness of breath, I will use this inhaler.: Tiotropium is a long-acting inhaled medication meant for maintenance therapy and is not intended for immediate relief of acute symptoms. For sudden shortness of breath, a rescue inhaler (usually containing a short-acting bronchodilator) would be more appropriate.

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During an annual physical exam, an older adult tells the nurse of using goldenseal as an herbal supplement. Which additional history should the nurse gather from the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is receiving IV vancomycin and the nurse plans to draw blood for a peak and trough to determine the serum level of the medication. Which collection times provide the best determination of these levels?

Correct Answer is A

Explanation

A client diagnosed with chronic obstructive pulmonary disease (COPD) is given a new prescription for tiotropium via an inhalation device. Which statement indicates that the client understands the Instructions for using this medication?

Correct Answer is A

Explanation

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