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 D

Explanation

A. While an elastic bandage can provide some compression to control bleeding, its primary purpose post-amputation is not to prevent bleeding but to support the healing process. It does help cover the incision, but this is not its main function in the context of shaping the stump.
B. Phantom limb pain is a common phenomenon after amputation, where the patient feels sensations in the amputated limb. Wrapping the stump may provide some psychological comfort, but the elastic bandage does not directly decrease phantom limb pain.
C. While adequate compression can help with circulation, the primary function of wrapping the stump is not to prevent blood clots. Preventing blood clots is more relevant to immobilization and other measures, particularly in the early postoperative period.
D. The elastic bandage helps to compress the soft tissue of the stump, promoting a well-shaped residual limb. This shaping is important for fitting prosthetics later and helps minimize edema (swelling) in the area post-surgery.

A. Instruct the client how to perform biofeedback exercises B. Place the client's residual limb in the dependent position C. Explain to the client his left leg has been amputated D. Medicate the client with narcotic analgesic immediately

Correct Answer is D

Explanation

A. While biofeedback can be a helpful technique for managing pain in the long term, it is not an immediate intervention for acute pain. The client is expressing urgent pain that requires prompt action, so this option does not address the immediate need.
B. Placing the residual limb in a dependent position (below the level of the heart) can increase swelling and may worsen the pain. After surgery, the limb should typically be elevated to minimize swelling, especially in the early postoperative period.

C. While it is important for clients to understand their situation, explaining the amputation does not provide immediate relief for acute pain. The client is likely already aware of the amputation and is in distress, so this option is not a priority at this moment.
D. This is the most appropriate intervention. The client is experiencing significant pain, and administering a narcotic analgesic can provide immediate relief. Pain management is a priority in the postoperative setting, especially in the first few hours after surgery.

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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

A client with an above the knee amputation asks the nurse why the stump needs to be wrapped with an elastic bandage. The nurse explains that it:

Correct Answer is D

Explanation

The nurse is caring for a client who is three hours postoperative left leg below the knee amputation (BKA). The client tells the nurse. "My left foot is killing me. Please do something!" Which intervention should the nurse implement?

Correct Answer is D

Explanation

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A client on glipizide, a sulfonylurea, reports to the nurse feeling anxious, sweaty & has a headache. The nurse's initial action is to:

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