The client is receiving a trimethoprim-sulfamethoxazole. What information should the nurse include in the teaching about this medication?

Spend some time in the sun to improve drug metabolism

Increase fluid intake to 3 to 4 liters per 24 hours

Take the drug every morning, at the same time as hydrochlorothiazide

Take kaopectate daily to prevent diarrhea

Answer and Explanation

The Correct Answer is B

A.   Sun exposure is not related to drug metabolism, and excessive sun exposure can be harmful.
B.   Increasing fluid intake can help prevent kidney damage, a potential side effect of trimethoprim- sulfamethoxazole.
C.   While it's important to take medications consistently, there's no specific requirement to take trimethoprim-sulfamethoxazole at the same time as hydrochlorothiazide. The dosing schedule should be as prescribed by the healthcare provider.
D.   Kaopectate can interfere with the absorption of certain medications and may not be effective in preventing diarrhea caused by trimethoprim-sulfamethoxazole.

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Correct Answer is B

Explanation

A. While staying hydrated is essential, especially during illness, limiting intake to non-caloric liquids could lead to inadequate caloric intake and worsen the client’s condition. Instead, the client should maintain a balanced intake of fluids and carbohydrates as tolerated.
B. This is a reasonable approach. Monitoring blood glucose levels regularly allows the client to assess how their body is responding to the illness and any adjustments in insulin. If the levels continue to rise, it is important for the client to seek medical attention to prevent complications like diabetic ketoacidosis (DKA).
C. While it is important to manage carbohydrate intake, completely decreasing carbohydrate intake can lead to inadequate caloric consumption, which is especially risky during an illness. The body needs energy, and people with diabetes must balance carbohydrate intake with insulin administration to avoid complications.
D. Holding insulin can lead to dangerously high blood glucose levels. Clients with Type 1 diabetes require insulin regardless of illness, and it’s crucial to adjust the insulin regimen based on current blood glucose levels and carbohydrate intake.

Correct Answer is ["0.5"]

Explanation

Volume to administer (mL)=( Desired dose (mcg)/Available concentration (mcg/mL) 100 mcg is in 2 mL, so the concentration is:
100 mcg/2 Ml =50 mcg/mL
Volume to administer =25 mcg/ 50 mcg/mL=0.5mL
So, the nurse will administer 0.5 mL of fentanyl for the correct dose.

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The client is receiving a trimethoprim-sulfamethoxazole. What information should the nurse include in the teaching about this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client diagnosed with Type I diabetes calls the clinic with a blood glucose level of 285 mg/dL and symptoms of a sore throat, cough, and fever. The clinic triage nurse advises the client to:

Correct Answer is B

Explanation

The nurse must give 25 micrograms of fentanyl IVP X 1 dose. Fentanyl is available in an ampule 100 micrograms per 2mL. How many mL will the nurse give for the correct dose? round to the nearest tenth. Use a preceding zero if necessary. Do not use trailing zeros.

Correct Answer is ["0.5"]

Explanation

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