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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Avoid taking the medication on an empty stomach:
While it can be helpful to take lithium with food to minimize gastrointestinal upset, it is not the primary instruction for lithium use. The most important aspect of lithium therapy involves fluid balance and monitoring.
B. Keep medication fliers for frequent review and reference:
While reviewing medication information is useful, it is not as critical as maintaining appropriate fluid intake and monitoring for side effects specific to lithium.
C. Maintain a fluid intake of 1500 to 3000 mL per day:
This is crucial because lithium levels can be affected by changes in fluid balance. Inadequate fluid intake can lead to dehydration, which can increase lithium levels and the risk of toxicity. Therefore, maintaining adequate hydration is essential for safe lithium use.
D. Report fluctuations in weight to the healthcare provider:
While fluctuations in weight can be relevant for overall health monitoring, the more immediate concern with lithium therapy is to maintain proper fluid intake and monitor for signs of toxicity or dehydration.
Correct Answer is A
Explanation
A. Double the dose if a dose is missed:
This instruction is incorrect. Clients should not double their dose of allopurinol if they miss a dose. Instead, they should take the missed dose as soon as they remember, unless it is almost time for the next dose. Doubling the dose can lead to overdose and potential side effects.
B. Reduce caffeine and acidic intake:
Reducing caffeine and acidic foods can help manage gout and lower uric acid levels, making this advice appropriate.
C. Avoid taking on an empty stomach:
While allopurinol can be taken with or without food, some clients might find it less irritating if taken with food. This guidance is intended to reduce gastrointestinal discomfort.
D. Consume 2 liters of water daily:
Drinking adequate fluids helps prevent kidney stones and promotes overall kidney health, which is especially important when taking allopurinol. This advice supports effective medication use and overall health.
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