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.

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Correct Answer is C

Explanation

A. Do not take the medication more than once every 8 hours:
Diphenhydramine is typically dosed every 4 to 6 hours, not just once every 8 hours. However, this instruction is less critical compared to addressing the safety concerns related to drowsiness.

B. Take the medication with food to prevent gastric upset:
Diphenhydramine is generally not known to cause significant gastric upset, so this instruction is less critical. The primary concern with diphenhydramine is its sedative effects rather than gastrointestinal issues.

C. Avoid driving, since this medication causes drowsiness:
Diphenhydramine is known to cause significant drowsiness and sedation. Advising the client to avoid driving is crucial to prevent accidents and ensure their safety, making this the most important instruction.

D. Use sugarless candy or gum to help prevent a dry mouth:
While diphenhydramine can cause dry mouth, using sugarless candy or gum is a helpful but secondary instruction. The primary concern with diphenhydramine is its sedative effect, which affects the client's ability to drive safely.

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.

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

Nursing Test Bank

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