The nurse is reconciling medications for a new client.

Given the current medications listed below, which assessment finding should the nurse be most concerned about? Current Home Medications: metoprolol 25 mg PO daily metformin 500 mg PO BID isoniazid 600 mg IM two times per week rifampin 600 mg PO Daily streptomycin 1 gram IM two times per week acetaminophen 1000 mg PO Q6 hours as needed for pain or fever

Fasting blood sugar level of 130 mg/dL.

Yellow discoloration of the sclera.

Positive result on the tuberculin skin test.

Blood pressure reading of 100/70 mmHg.

Answer and Explanation

The Correct Answer is B

Choice A rationale
While a fasting blood sugar level of 130 mg/dL is slightly elevated, it is not the most concerning finding given the current medications. Metformin is a medication used to control blood sugar levels in patients with diabetes, so this patient’s blood sugar is being managed.
Choice B rationale
Yellow discoloration of the sclera is a sign of jaundice, which can indicate liver damage. Given that this patient is taking several medications that can potentially cause liver damage (including isoniazid and acetaminophen), this finding is most concerning.
Choice C rationale
A positive result on the tuberculin skin test indicates exposure to tuberculosis, but it does not necessarily mean the patient has active tuberculosis. The patient is currently taking medications for tuberculosis (isoniazid and rifampin), indicating that this condition is being managed.
Choice D rationale
A blood pressure reading of 100/70 mmHg is within the normal range, so this would not be the most concerning finding. The patient’s metoprolol medication is used to manage blood pressure, indicating that this aspect of the patient’s health is being managed. Prednisone Prednisone Explore

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Correct Answer is A

Explanation

Choice A rationale
Lactulose is used to treat hepatic encephalopathy, a condition that affects patients with liver failure. It works by reducing the absorption of ammonia in the gut. Having loose, watery stools is a desired therapeutic effect of lactulose. Therefore, no action is required if the patient is oriented and has had 6 loose, watery stools since 07007.
Choice B rationale
Withholding the dose and contacting the doctor for daily stool count parameters is not necessary in this situation. The patient is currently oriented, which suggests that the lactulose is effectively managing their hepatic encephalopathy.
Choice C rationale
Administering the medication because diarrhea is a common side effect is not the correct course of action. The presence of loose, watery stools is not merely a side effect, but a desired therapeutic effect of lactulose in the treatment of hepatic encephalopathy.
Choice D rationale
Removing fall precautions due to changes in mental status is not necessary in this situation. The patient is currently oriented, which suggests that the lactulose is effectively managing their hepatic encephalopathy.

A. Monitor blood pressure for hypertension during the infusion. B. Restrict fluids during vancomycin therapy. C. Infuse the drug over at least 1 hour. D. Discontinue the drug immediately if red man syndrome occurs.

Correct Answer is C

Explanation

Choice A rationale
Monitoring blood pressure for hypertension during the infusion is important, but it is not the primary measure to reduce complications with vancomycin administration3.
Choice B rationale
Restricting fluids during vancomycin therapy is not recommended. Adequate hydration is important when receiving vancomycin to prevent kidney damage3.
Choice C rationale
Infusing the drug over at least 1 hour is the most crucial measure to reduce complications that may occur with vancomycin administration. This is to prevent “red man syndrome,” a reaction that can cause flushing, rash, and hypotension3.
Choice D rationale
Discontinuing the drug immediately if red man syndrome occurs is not the primary measure. The infusion can often be slowed down or temporarily stopped to manage this reaction3.

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Naxlex Comprehensive Predictor Exams

A patient with liver failure has been admitted with hepatic encephalopathy and is prescribed lactulose every 2 hours. The patient is currently oriented and has had 6 loose, watery stools since 0700. The 1400 dose of lactulose is due. What should be the nurse’s next course of action?

Correct Answer is A

Explanation

The nurse is administering a vancomycin infusion. What measure should the nurse implement to reduce complications that may occur with this drug’s administration?

Correct Answer is C

Explanation

A patient is prescribed erythromycin for an infection. What medication should the nurse instruct the patient to avoid while on erythromycin?

A client is prescribed milk of magnesia. After reviewing the client’s lab results, which potential electrolyte imbalance is the nurse concerned about?

When the nurse is about to administer nystatin, which has been prescribed by the physician for a client with an oral candida infection that includes the roof of the mouth and the back of the throat, what should be the first step?

A patient has been prescribed the antibiotic doxycycline. What is the most important information for the nurse to include when educating the patient?

A client who has recently been prescribed Sucralfate makes which statement that indicates they need more education about their medication?

The nurse has provided education to a patient with diabetes who is starting on insulin injections. The nurse asks the patient, “What should you do if your fasting blood glucose is 57 mg/dL?” Which response by the patient would indicate an understanding of the education provided?

The nurse is teaching a patient about home administration of insulin. The patient will receive regular insulin and NPH insulin at 0700 every day. What is important to teach the patient?