Exhibits

Review H and P, nurse's notes, laboratory results, flow sheet, and prescriptions.

Click to mark whether the assessment finding represents a therapeutic result of the minoxidil administered, a non-therapeutic side-effect, or an unrelated finding. Each row must have one option selected.

Dizziness while sitting up

Blood glucose 218mg/dl

Mouth dryness

Blood pressure 162/111mmHg

Heart rate 99

Pain of 1 out of 10

Urine output 600ml

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"C"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"C"},"G":{"answers":"C"}}

1. Dizziness while sitting up: Non-therapeutic side effect

- Dizziness is a common side effect of minoxidil, often due to the vasodilatory effects, which can cause orthostatic hypotension.

2. Blood glucose 218 mg/dL: Unrelated finding

- Elevated blood glucose is unrelated to minoxidil administration and is more likely related to the client's diabetes.

3. Mouth dryness: Non-therapeutic side effect

- Dry mouth can be a side effect of minoxidil, though it is not a common one.

4. Blood pressure 162/111 mmHg: Therapeutic result

- The reduction in blood pressure from 203/166 mmHg to 162/111 mmHg is a therapeutic effect of minoxidil, which is used to lower blood pressure.

5. Heart rate 99: Non-therapeutic side effect

- Tachycardia can be a side effect of minoxidil, as it can lead to reflex tachycardia due to its vasodilatory effects.

6. Pain of 1 out of 10: Unrelated finding

- The reduction in pain is unrelated to the administration of minoxidil and is likely due to the ibuprofen given for pain management.

7. Urine output 600 mL: Unrelated finding

- Urine output is not directly related to the administration of minoxidil and is not typically affected by the drug.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. NSAIDs should not be resumed without medical advice, especially if there has been significant gastrointestinal bleeding.
B. A diet of milk, cream, and bland foods is not specifically recommended for this condition and does not address the underlying issue of NSAID-induced gastrointestinal damage.
C. Black stools can indicate gastrointestinal bleeding, which is a serious side effect of NSAIDs and requires immediate medical attention.
D. While esomeprazole can cause side effects like diarrhea or headache, they are not as urgent as reporting possible gastrointestinal bleeding.

A. The dose of insulin drawn up in the syringe B. The site for the insulin administration C. The type of insulin to be administered D. The sliding scale insulin lispro prescription E. The insulin concentration F. The insulin vial for color and clarity G. The history and physical with the diabetes diagnosis listed H. The expiration date on the insulin vial

Correct Answer is ["A","C","D","E","F","H"]

Explanation

A. (The dose of insulin drawn up in the syringe): Ensures the correct dosage is being administered, which is critical to avoid under- or overdosing.
B. The site for the insulin administration is not typically double-checked with another nurse, as they are part of the nurse's standard assessment and practice.
C. (The type of insulin to be administered): Confirms that the correct insulin type (e.g., insulin lispro) is being given, as administering the wrong type could lead to improper glucose control.
D. (The sliding scale insulin lispro prescription): Verifies the correct sliding scale dosing, ensuring it matches the client's current blood glucose level.
E. (The insulin concentration): Ensures the insulin concentration is appropriate and aligns with the prescribed dose.
F. (The insulin vial for color and clarity): Confirms that the insulin is not compromised; any discoloration or cloudiness could indicate that the insulin is not safe to use.
H. (The expiration date on the insulin vial): Ensures the insulin is within its expiration date and effective.
G. The history and physical with the diabetes diagnosis listed are not typically double-checked with another nurse, as they are part of the nurse's standard assessment and practice.

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Exhibits Review H and P, nurse's notes, laboratory results, flow sheet, and prescriptions. Click to mark whether the assessment finding represents a therapeutic result of the minoxidil administered, a non-therapeutic side-effect, or an unrelated finding. Each row must have one option selected.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

Exhibits The nurse prepares to give 2 units of insulin lispro. Which should the nurse double check with a second nurse? Select all that apply.

Correct Answer is ["A","C","D","E","F","H"]

Explanation

A female client with mild depression reports to the nurse recently starting St. John's wort. Which information provided by the client requires further instruction?

Prior to administering an oral dose of methylprednisolone, the nurse determines the client's serum total calcium level is 5.5 mg/dL (1.375 mmol/L). What action is most important for the nurse to take?

A client with multiple sclerosis starts a new prescription, baclofen, to control muscle spasticity. Three days later, the client calls the clinic nurse and reports feeling fatigued and dizzy. Which instruction should the nurse provide?

A young adult female client who is planning to become pregnant asks the nurse if she can continue taking isotretinoin for cystic acne. Which information is most important for the nurse to provide this client?

A client with narcolepsy receives a new prescription for methylphenidate. Prior to administration of the medication, the nurse should review the medical record for which condition?

The nurse is planning discharge teaching for a client with type 2 diabetes mellitus who has a new prescription for insulin glargine. Which action should the nurse plan to include in the discharge teaching?

Exhibits

Review H and P, nurse's notes, laboratory results, flow sheet, and prescriptions.

Click to mark whether the assessment finding represents a therapeutic result of the minoxidil administered, a non-therapeutic side-effect, or an unrelated finding. Each row must have one option selected.