Prior to administration of the initial dose of the gastrointestinal (GI) agent misoprostol, which information should the nurse obtain from the patient?

Taking an antiemetic medication.

Allergy to aspirin.

Currently pregnant.

History of glaucoma.

Answer and Explanation

The Correct Answer is C

A. Taking an antiemetic medication: This information is not directly relevant before administering misoprostol. Misoprostol does not typically interact with antiemetic medications in a way that would change the administration plan.
B. Allergy to aspirin: While important to know for general medication safety, misoprostol's primary concern is its potential effects on pregnancy rather than an allergy to aspirin.
C. Currently pregnant: Misoprostol is contraindicated in pregnancy due to its potential to induce uterine contractions and cause miscarriage. It is crucial to confirm that the patient is not pregnant before administering this medication.
D. History of glaucoma: While important for other medications, a history of glaucoma is not a primary concern when administering misoprostol.

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Correct Answer is B

Explanation

A. Reduce caffeine and acidic intake: This is appropriate advice as caffeine and acidic foods can potentially affect uric acid levels and might exacerbate gout symptoms.
B. Double the dose if a dose is missed: This is incorrect and requires additional instruction. Allopurinol should not be doubled if a dose is missed. Instead, the missed dose should be taken as soon as possible unless it is almost time for the next dose. Doubling the dose could lead to increased risk of side effects or adverse reactions.
C. Avoid taking on an empty stomach: This is generally good advice, although allopurinol can be taken with or without food. Taking it with food might help reduce potential gastrointestinal discomfort.
D. Consume 2 liters of water daily: This is recommended to help prevent the formation of uric acid crystals and to ensure adequate hydration, which is beneficial while on allopurinol.

A. "I need to notify my healthcare provider if I lose my appetite or get nauseated." B. "I should take my furosemide only if I have shortness of breath or swelling in my feet." C. "I need to check my blood pressure three times a day." D. "If I lose more than one pound in a week, I should hold my next dose of furosemide."

Correct Answer is A

Explanation

A. "I need to notify my healthcare provider if I lose my appetite or get nauseated." This statement shows understanding because loss of appetite and nausea can be symptoms of digoxin toxicity or side effects, and it is important to report these symptoms to a healthcare provider. Monitoring for such side effects is crucial when taking digoxin.
B. "I should take my furosemide only if I have shortness of breath or swelling in my feet." This statement is incorrect because furosemide, a diuretic, should be taken according to the prescribed schedule, not based on symptoms. It is used to manage fluid retention and symptoms of heart failure, and its use should not be dependent solely on the presence of symptoms.
C. "I need to check my blood pressure three times a day." While monitoring blood pressure is important, it is not specifically required for patients on digoxin and furosemide unless instructed by a healthcare provider. The focus should be more on monitoring for symptoms of drug side effects and electrolyte imbalances.
D. "If I lose more than one pound in a week, I should hold my next dose of furosemide." Weight loss can be a normal effect of furosemide due to fluid loss, and the decision to hold a dose should be based on specific medical advice and not solely on weight change.

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Prior to administration of the initial dose of the gastrointestinal (GI) agent misoprostol, which information should the nurse obtain from the patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client receives a prescription for allopurinol. Which information provided by the client requires additional instruction by the nurse?

Correct Answer is B

Explanation

Digoxin and furosemide were prescribed for a client with chronic heart failure, and the home health nurse is evaluating the client's self-care knowledge of these drugs. Which statement indicates that the client has a good understanding about the use of these drugs?

Correct Answer is A

Explanation

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