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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Heparin acts quickly to provide immediate anticoagulation, while warfarin takes several days to reach therapeutic levels. Heparin ensures that the client is adequately anticoagulated during the initial phase while waiting for warfarin to take effect.
B. Neither heparin nor warfarin directly dissolves clots. They are both anticoagulants that prevent further clot formation and allow the body's natural processes (fibrinolysis) to break down the existing clot over time. The combination does not specifically facilitate the dissolution of clots.
C. This statement is misleading. The use of both medications is not primarily about reducing the doses. Instead, each medication has its own dosing based on the patient’s needs, and the combination is used for timing and efficacy rather than dose reduction.
D. While heparin does provide immediate anticoagulation, saying it provides "maximum protection" could be misleading. It does ensure effective anticoagulation in the short term, but the maximum effectis related to individual response and therapeutic levels, which vary. Additionally, once warfarin reaches therapeutic levels, it becomes the primary agent for long-term anticoagulation.
Correct Answer is ["6.2"]
Explanation
Total daily dose in mg:
1.5 grams/day = 1500 mg/day Dose per administration in mg:
1500 mg/day ÷ 3 doses/day = 500 mg/dose Volume to be administered per dose in mL:
(500 mg/dose) / (400 mg/5 mL) = 6.25 mL/dose
Rounding to the nearest tenth, the nurse will administer 6.2 mL per dose.
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