Exhibits
A nurse is caring for a client in an outpatient clinic.
Complete the following sentence by using the lists of options.
The client is at risk for
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
The client is at risk for decreased absorption due to medication interactions.
Rationale
Esomeprazole works by reducing the production of stomach acid, thereby raising the pH level in the stomach. Levothyroxine, like many other medications, is absorbed primarily in the upper part of the small intestine where a more acidic environment is optimal for absorption. When stomach acid production is reduced by esomeprazole, the pH of the stomach increases, which can decrease the dissolution and absorption of levothyroxine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C. Fentanyl can cause vasodilation, which may lead to a decrease in blood pressure. This effect can be more pronounced with rapid IV administration rather than with the slow absorption from the transdermal patch.
A. Fentanyl, particularly when administered via the transdermal route, tends to have minimal direct cardiovascular effects such as bradycardia due to its opioid receptor agonism. Tachycardia would be more indicative of other causes rather than fentanyl itself.
B. Fentanyl's primary effects are related to analgesia and central nervous system depression. Sedation and drowsiness are more common effects, rather than insomnia.
D. Gastrointestinal effects such as constipation are more common with opioid medications like fentanyl due to their action on opioid receptors in the gastrointestinal tract, which slows motility.
Correct Answer is D
Explanation
D. Urticaria is a classic sign of an allergic reaction to penicillin and other medications. It typically appears within minutes to hours after exposure and is often accompanied by itching.
A Dyspepsia is typically not associated with an allergic reaction to penicillin. It is more commonly related to gastrointestinal issues such as acid reflux or gastritis.
B. Bradycardia is not a typical manifestation of an allergic reaction to penicillin. Allergic reactions usually involve cardiovascular symptoms such as tachycardia (rapid heart rate) rather than bradycardia.
C. Pallor can occur as part of an allergic reaction, especially in more severe cases where there may be vasodilation or decreased blood flow to the skin. It can be an early sign of anaphylaxis. However, it is not a typical sign of an allergic reaction.
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