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. This time falls shortly after the onset of NPH insulin. While hypoglycemia could start to occur around this time, it is less likely to be at its peak.
B. This time is past the peak range of NPH insulin. The likelihood of hypoglycemia is lower as the insulin effect would be tapering off.
C. This time is well past the usual duration of NPH insulin. By this point, the risk of hypoglycemia would be significantly decreased.
D. This time falls within the peak action of NPH insulin (approximately 4-12 hours post-administration). This is when hypoglycemia is most likely to occur due to the greatest effect of the insulin.

A. Serum fasting glucose 101 mg/dL B. platelets 160,000 uL C. Serum creatinine 2.5 mg/dL D. Hemoglobin 13.6 g/dL

Correct Answer is C

Explanation

A. A serum fasting glucose level of 101 mg/dL indicates a mild elevation but is not significantly high enough to contraindicate the use of TMP-SMX. It does not directly relate to the medication’s safety.
B. A platelet count of 160,000 µL is within normal limits (normal range is typically 150,000-450,000 µL). This result does not indicate any contraindication for using TMP-SMX.

C. A serum creatinine level of 2.5 mg/dL indicates impaired kidney function (normal range is typically 0.6-1.2 mg/dL). TMP-SMX can be contraindicated in patients with significant renal impairment due to the potential for drug accumulation and toxicity, particularly affecting renal function.
D. A hemoglobin level of 13.6 g/dL is within normal limits (normal range is approximately 13.5-17.5 g/dL for males and 12.0-15.5 g/dL for females). This result does not indicate a contraindication for using TMP- SMX.

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

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Naxlex Comprehensive Predictor Exams

A client receives 20 units of isophane insulin suspension (NPH) insulin at 0730. The nurse teaches the client that signs of hypoglycemia are most likely to occur at what time?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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