The nurse is educating a client about acetaminophen. Which information provided by the client requires additional instruction by the nurse?

Avoid the consumption of alcohol.

Report any color changes to urine.

Take additional doses as needed.

Stop medication if a rash develops.

Answer and Explanation

The Correct Answer is C

A. Avoid the consumption of alcohol:
This instruction is appropriate because alcohol can increase the risk of liver damage when taking acetaminophen. Clients should avoid alcohol to prevent potential adverse effects on the liver.

B. Report any color changes to urine:
Acetaminophen can cause changes in urine color, such as darkening, which might indicate liver problems or other issues. Reporting such changes is important for monitoring potential side effects and ensuring timely intervention.

C. Take additional doses as needed:
This statement requires clarification because acetaminophen should be taken according to the prescribed dosage and frequency. Taking additional doses can lead to an overdose and serious liver damage. Clients should follow the recommended dosing guidelines and consult their healthcare provider if additional pain relief is needed.

D. Stop medication if a rash develops:
If a rash develops, it could be a sign of an allergic reaction or other adverse effect. Stopping the medication and seeking medical advice is appropriate to prevent further complications.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. When signs of severe hypoglycemia occur:
Glucagon is used to rapidly increase blood glucose levels in cases of severe hypoglycemia when the person is unable to eat or drink. It is administered in emergency situations where the individual is unconscious or unable to consume oral glucose.

B. Before meals to prevent hyperglycemia:
Glucagon is not used to prevent hyperglycemia or as a routine preventive measure. It is specifically for emergency treatment of severe hypoglycemia.

C. When unable to eat during sick days:
While glucagon can be used if the person is unable to eat due to severe hypoglycemia, it is not typically used as a preventative measure for situations where the client is simply unable to eat. Regular monitoring and management of blood glucose levels are necessary during illness.

D. At the onset of signs of diabetic ketoacidosis:
Glucagon is not used to treat diabetic ketoacidosis (DKA). DKA is managed with insulin, fluids, and electrolytes, not glucagon.

A. Instruct the client that it is necessary to take nothing but water with the medication. B. Withhold the medication until the client's breakfast tray is available on the unit. C. Consult with a pharmacist about scheduling the dose one hour after the client eats. D. Assign an unlicensed assistive personnel (UAP) to bring the client a glass of low fat milk.

Correct Answer is A

Explanation

A. Instruct the client that it is necessary to take nothing but water with the medication:
Risedronate, a bisphosphonate used for osteoporosis, should be taken with a full glass of water on an empty stomach. The client should remain upright for at least 30 minutes after taking the medication to enhance absorption and reduce the risk of esophageal irritation. Milk and other beverages can interfere with the absorption of the medication.

B. Withhold the medication until the client's breakfast tray is available on the unit:
This would delay the medication unnecessarily. Risedronate should be taken on an empty stomach to ensure proper absorption.

C. Consult with a pharmacist about scheduling the dose one hour after the client eats:
This is not appropriate as risedronate should be taken on an empty stomach to ensure maximum absorption. Consulting a pharmacist in this context may lead to a misunderstanding of the medication's administration requirements.

D. Assign an unlicensed assistive personnel (UAP) to bring the client a glass of low fat milk:
Offering milk with risedronate is inappropriate as it interferes with the medication’s absorption. The client should only take the medication with water.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is educating a client about acetaminophen. Which information provided by the client requires additional instruction by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A glucagon emergency kit is prescribed for a client with type 1 diabetes mellitus. When should the nurse instruct the client and family that glucagon needs to be administered?

Correct Answer is A

Explanation

The nurse administers risedronate to a client with osteoporosis at 0700. The client asks for a glass of milk to drink with the medication. Which action should the nurse take?

Correct Answer is A

Explanation

The healthcare provider prescribes magnesium sulfate 300 mg/hour IV. The IV bag is contains magnesium sulfate 4 grams in dextrose 5% in water (DW) 500 mL. How many mL/hour should the nurse set the infusion pump? (Enter numerical value only. If rounding is required, round to the nearest tenth.)

A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every 12 hours to be infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5% in water (DW) 200 mL. The nurse should program the infusion pump to deliver how many mL/hr? (Enter numerical value only.)

A client receives a prescription for penicillin 1.2 million units IM. The available vial is labeled, "600,000 units/2 mL." How many mL should the nurse administer? (Enter numeric value only.)

A client has a new prescription for diclofenac, a nonsteroidal antiinflammatory drug (NSAID). Which information in the client's history is of greatest concern to the nurse in monitoring the client's response to this medication?

The healthcare provider prescribes propylthiouracil (PTU) and Lugol's solution, a strong iodine solution, for a client with hyperthyroidism. How should the nurse schedule the administration of these medications?

The nurse is assessing a client who was recently diagnosed with Parkinson's disease and is taking carbidopa-levodopa. The client is concerned that the medication is not working. Which intervention should the nurse implement first?

The nurse is providing medication teaching to a client with bipolar disorder who receives a prescription for lithium carbonate. Which instruction should the nurse emphasize with the client?