The nurse is reviewing discharge instructions for a client starting a new medication. The client asks the nurse "how would I know if I to this medication The best response by the nurse is

“Most allergic responses include hives or a rash."

“Common allergic reactions made fever and diarrhea.”

“You might feel cold and sweaty of you are having an allergic reaction.”

“Nausea and vomiting usually mean you are allergic to the medication.”

Answer and Explanation

The Correct Answer is A

A. "Most allergic responses include hives or a rash.": Allergic reactions often present with hives (urticaria), rash, itching, and sometimes anaphylaxis. Severe reactions can cause airway swelling, difficulty breathing, and hypotension.

B. "Common allergic reactions may include fever and diarrhea." Fever and diarrhea are more typical of infections, not allergic reactions.

C. "You might feel cold and sweaty if you are having an allergic reaction." Cold, clammy skin may indicate shock, but it is not specific to allergies.

D. "Nausea and vomiting usually mean you are allergic to the medication." GI symptoms may indicate intolerance but not necessarily an allergy.

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Correct Answer is A

Explanation

A. Distribution: Distribution refers to the movement of the drug from the bloodstream to tissues and organs. Poor circulation can impair drug distribution, leading to reduced effectiveness or toxic accumulation.

B. Excretion: Excretion is the elimination of drugs, primarily through the kidneys. While circulation plays a role, excretion is more directly affected by renal function.

C. Metabolism: Metabolism occurs primarily in the liver and is not the primary concern in a client with poor circulation.

D. Absorption: Absorption refers to how the drug enters the bloodstream, which is more dependent on the GI tract (oral meds) or injection site (IV, IM meds) rather than circulation.

A. "This test shows if I am dehydrated." B. "This test measures deficiencies in clotting factors." C. "If my level is too low, I need to consume more sodium." D. "The aPTT is used to measure my sugar levels."

Correct Answer is B

Explanation

A. "This test shows if I am dehydrated." aPTT is not used to assess hydration status; it measures blood clotting ability.

B. "This test measures deficiencies in clotting factors." aPTT assesses the intrinsic clotting pathway and helps evaluate clotting factor deficiencies, especially in conditions like hemophilia or when a client is on heparin therapy.

C. "If my level is too low, I need to consume more sodium." Sodium intake does not directly impact aPTT values.

D. "The aPTT is used to measure my sugar levels." Glucose levels are measured by a blood sugar test, not an aPTT test.

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The nurse is reviewing discharge instructions for a client starting a new medication. The client asks the nurse "how would I know if I to this medication The best response by the nurse is

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Naxlex Comprehensive Predictor Exams

A client has poor blood circulation. The nurse is concerned about which process of pharmacokinetics?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a client scheduled for activated partial thromboplastin time (aPTT) testing. Which of the following statements made by the client indicates understanding of the teaching?

Correct Answer is B

Explanation

A nurse is assisting in preparing an in-service program about preventing medication errors when transcribing a prescription. The nurse is using a dosage example of two tenths of a milligram. Which of the following transcription examples should the nurse use?

A nurse is receiving a telephone prescription for a client and documents it as metformin 500 PO BID. Which of the following elements should the nurse identify is missing from the prescription?

The nurse is reviewing discharge instructions for a client starting a new medication. The client asks the nurse "how would I know if I to this medication The best response by the nurse is

The nurse is reviewing the differential on a client who had a complete blood count and notes the neutrophils are within normal ranges if they are:

A client is on a blood thinner medication and requires weekly INR values. The nurse expects to see an INR of 2-2.5 times the normal range so she would anticipate what value:

For proper hydration, 2 liters of fluid are recommended dally. This is the equivalent to ____ mls? Type in numerical answer with no comma’s. Do not add unit of measure.

The nurse is reinforcing medication teaching with a client. The nurse explains that side effects are most likely to occur.

In any group of 100 nurses, you would expect 45 nurses to specialize in a particular field. In a class of 240 graduates, how many would you expect to specialize? Type only the number for your answer with no other characters or words.