The client reports using an over-the-counter (OTC) antidiarrheal agent for treatment of diarrhea, the nurse would educate the client to contact their primary health care provider if diarrhea is not resolved in which time frame?

24 hours

48 hours

12 hours

6 hours

Answer and Explanation

The Correct Answer is B

A. 24 hours: While mild diarrhea may improve within 24 hours, it is generally acceptable to continue over-the-counter treatment for a short period. Advising follow-up after just 24 hours may be premature unless the client exhibits other concerning symptoms such as fever or dehydration.

B. 48 hours: Diarrhea that persists beyond 48 hours may indicate an underlying infection, inflammatory condition, or another medical issue requiring professional evaluation. At this point, further assessment and possibly diagnostic testing are needed to avoid complications.

C. 12 hours: This time frame is too short to assess treatment effectiveness with an OTC agent. Mild diarrhea often improves over a day or two, so instructing clients to seek care after only 12 hours is unnecessary unless accompanied by red flags like blood in stool or signs of severe dehydration.

D. 6 hours: Six hours is too short a window to evaluate the resolution of diarrhea, especially for self-limited cases. Immediate medical attention within this time frame is usually reserved for infants or clients with severe symptoms, not routine adult cases using OTC therapy.

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Correct Answer is D

Explanation

A. apical heart rate: While changes in heart rate can occur as side effects of some antiemetic medications, dronabinol primarily affects the central nervous system. Cardiac monitoring is not the priority unless the client has a pre-existing heart condition.

B. blood pressure: Dronabinol may cause postural hypotension, especially in older adults, but this is generally mild and not the most urgent concern. Monitoring blood pressure is appropriate but not the top priority compared to neurologic effects.

C. skin integrity: Skin integrity is not directly impacted by dronabinol and is not a primary concern in the acute monitoring of this drug. There are no common dermatologic side effects associated with dronabinol use that would necessitate prioritizing skin assessment.

D. mental status: Dronabinol is a synthetic cannabinoid and may cause central nervous system effects such as dizziness, confusion, euphoria, or hallucinations. Assessing mental status is crucial, especially in older adults or those with a history of psychiatric illness, to identify adverse cognitive effects early.

A. The client's random blood glucose is 120 mg/dL (6.7 mmol/L). B. The client's creatinine clearance of 1.75 mL/s/m2 is within reference ranges. C. The client's glycosylated hemoglobin (HbA1c) level is 6.1% (0.06). D. The client's fasting blood glucose level is 80 mg/dL (4.4 mmol/L).

Correct Answer is C

Explanation

A. The client's random blood glucose is 120 mg/dL (6.7 mmol/L): A normal random glucose is encouraging, but it reflects only a momentary snapshot. Glucose levels can fluctuate throughout the day, so this test does not provide a reliable indicator of long-term diabetes control.

B. The client's creatinine clearance of 1.75 mL/s/m² is within reference ranges: While renal function is important in diabetic clients, especially due to the risk of nephropathy, creatinine clearance does not assess how well blood glucose levels are being managed specifically.

C. The client's glycosylated hemoglobin (HbA1c) level is 6.1% (0.06): HbA1c reflects the client’s average blood glucose control over the past 2 to 3 months. A value of 6.1% suggests effective long-term management of type 1 diabetes and is the best indicator of glucose control.

D. The client's fasting blood glucose level is 80 mg/dL (4.4 mmol/L): This is a normal fasting value and suggests good short-term control. However, like random glucose, it only represents glucose levels at one point in time and does not assess cumulative management.

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The client reports using an over-the-counter (OTC) antidiarrheal agent for treatment of diarrhea, the nurse would educate the client to contact their primary health care provider if diarrhea is not resolved in which time frame?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has not responded to conservative treatment for nausea and vomiting as has subsequently been prescribed dronabinol. In addition to monitoring the client's nausea, the nurse should prioritize what assessment after administering the drug?

Correct Answer is D

Explanation

A client in the community is taking regular and NPH insulin to manage type 1 diabetes. What laboratory finding best demonstrates that the client's diabetes management is adequate?

Correct Answer is C

Explanation

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