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 C

Explanation

A. While epinephrine is crucial in cases of anaphylaxis, it should not be the first action taken. The immediate priority is to stop the offending medication.
B. While assessing vital signs is important, it is not the first action. The primary concern is to halt the exposure to the potential allergen.
C. The first action in this situation should be to immediately stop the infusion of the antibiotic. This prevents further exposure to the allergen and is critical to managing the potential anaphylactic reaction.

D. While providing oxygen may be necessary later if the client is hypoxic, the immediate priority is to stop the infusion of the antibiotic first. Administering oxygen is important but comes after halting the offending agent.

A. There is no peak of action for this insulin, which reduces the risk of hypoglycemia B. Check blood glucose levels prior to and after exercising. C. Check blood glucose levels on a weekly basis D. Check for microalbuminuria if blood glucose levels are above 280 mg/dl E. Rotate sites when injecting insulin glargine

Correct Answer is ["A","B","E"]

Explanation

A. Insulin glargine is a long-acting insulin that provides a steady release of insulin without a pronounced peak. This characteristic helps reduce the risk of hypoglycemia compared to shorter-acting insulins, making it an important point to educate the client on.
B. It is important for individuals with diabetes to monitor their blood glucose levels before and after exercise, as physical activity can significantly affect glucose levels. This practice helps the client avoid hypoglycemia during and after exercise, especially if they are on insulin.
C. Clients should monitor their blood glucose levels more frequently than weekly, especially if they are on insulin. Daily monitoring is typically recommended, especially if there are changes in diet, activity level, or medications. Weekly checks may not provide adequate insight into glucose control.
D. Partially correct but not a primary focus for immediate discharge teaching. While monitoring for microalbuminuria is important for long-term kidney health, it is not typically a direct action related to daily management. This would be part of routine assessments rather than immediate discharge instructions.
E. Rotating injection sites is crucial to prevent lipodystrophy and ensure consistent absorption of insulin. Educating the client on proper injection techniques, including site rotation, is essential for effective insulin management.

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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

Ten minutes after initiating an intravenous antibiotic, the client complains of shortness of breath, itching, and difficulty swallowing. What is the nurse's initial action?

Correct Answer is C

Explanation

The nurse is discharging a client who was just prescribed insulin glargine daily at 2100. Which of the following should be included in the teaching? (SELECT ALL THAT APPLY)

Correct Answer is ["A","B","E"]

Explanation

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