The nurse assesses a client with intermittent claudication who is receiving pentoxifylline. Which assessment should the nurse perform to determine the effectiveness of the medication?
Evaluate the level of consciousness.
Auscultate bowel sounds.
Measure hourly urinary output.
Monitor numeric pain scale.
The Correct Answer is D
Intermittent claudication is a condition in which there is pain in the legs due to reduced blood flow. Pentoxifylline is a medication that can improve blood flow by reducing the viscosity of the blood. Therefore, to determine the effectiveness of the medication in managing intermittent claudication, the nurse should monitor the client's pain level using a numeric pain scale. This will help to assess if the medication provides pain relief and improving the client's ability to walk without discomfort.
Options a, b, and c are not relevant to the assessment of the effectiveness of pentoxifylline in managing intermittent claudication.
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Related Questions
Correct Answer is D
Explanation
A total calcium level of 14 mg/dL (3.5 mmol/L) is higher than the normal range of 2.2 to 2.6 millimoles per liter (mmol/L)1. Calcitriol and calcium carbonate are both medications used to increase calcium levels in the blood2. Since the client’s calcium level is already high, it would be important for the nurse to hold both medications and contact the healthcare provider for further instructions.
Correct Answer is ["A","D"]
Explanation
The correct answer is:
a. Report any tendon pain or swelling to the healthcare provider immediately.
d. Limit exposure to sunlight and avoid tanning beds.
Choice A: Report any tendon pain or swelling to the healthcare provider immediately.
Ciprofloxacin, like other fluoroquinolones, can cause tendinitis and tendon rupture. This risk is higher in older adults, those on corticosteroid therapy, and those with kidney, heart, or lung transplants. Reporting any tendon pain or swelling immediately is crucial to prevent severe complications.
Choice B: Use NSAIDS to relieve mid joint aches and pains caused by the medication.
This is not recommended. Using NSAIDs with ciprofloxacin can increase the risk of central nervous system effects, including seizures. Therefore, it is not advised to use NSAIDs to relieve joint aches and pains caused by ciprofloxacin.
Choice C: Crush and mix the tablets with pudding if you have trouble swallowing the tablets.
Ciprofloxacin tablets should not be crushed. Crushing the tablets can affect the drug’s effectiveness and increase the risk of side effects. If swallowing is an issue, the healthcare provider should be consulted for alternative forms of the medication.
Choice D: Limit exposure to sunlight and avoid tanning beds.
Ciprofloxacin can increase the skin’s sensitivity to sunlight, leading to severe sunburns. Patients are advised to limit their exposure to sunlight and avoid tanning beds while taking this medication.
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