The nurse is teaching a client who is prescribed acetaminophen for control of osteoarthritic joint pain. What statement by the client indicates a need for further teaching?

I won’t take more than 5000 mg of this drug each day.

I’ll follow up to get my lab tests done to check my liver.

I’ll check drugs that I take for acetaminophen in them.

I can use topical patches and creams to help relieve pain.

Answer and Explanation

The Correct Answer is A

Choice A reason: The maximum daily dose of acetaminophen for adults is typically 4000 mg to avoid hepatotoxicity. A statement indicating 5000 mg suggests a misunderstanding, as exceeding 4000 mg increases the risk of liver damage due to the accumulation of toxic metabolites like N-acetyl-p-benzoquinone imine, which depletes glutathione.
Choice B reason: Regular liver function tests are recommended for clients on long-term acetaminophen to monitor for hepatotoxicity, as the drug is metabolized by the liver. This statement shows correct understanding, as it acknowledges the need to assess liver enzymes like ALT and AST for potential damage.
Choice C reason: Checking other medications for acetaminophen content is crucial to prevent unintentional overdose, which can lead to acute liver failure. This statement reflects proper understanding, as combination drugs (e.g., cold remedies) often contain acetaminophen, contributing to cumulative toxicity if not monitored.
Choice D reason: Using topical patches or creams for osteoarthritis pain is a valid adjunctive therapy. These deliver localized relief (e.g., NSAIDs or capsaicin) without systemic effects, complementing acetaminophen’s action. This statement indicates correct understanding of multimodal pain management strategies.

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Correct Answer is D

Explanation

Choice A reason: A supine or prone position may allow milk or secretions to pool, but this is not the primary reason for otitis media susceptibility. Positioning contributes indirectly by facilitating fluid reflux, but anatomical factors are more significant in infants.
Choice B reason: Sucking on a nipple does not significantly create middle ear pressure. While bottle-feeding in a supine position may allow fluid reflux into the eustachian tube, this is secondary to the anatomical structure of the tube itself.
Choice C reason: Infants are prone to upper respiratory infections due to immature immunity, which can lead to otitis media. However, this is a contributing factor, not the primary anatomical reason, as infections exploit the eustachian tube’s structure to cause middle ear inflammation.
Choice D reason: Infants’ eustachian tubes are shorter, straighter, and wider than in adults, allowing easier passage of bacteria from the nasopharynx to the middle ear. This anatomical feature impairs drainage and ventilation, increasing susceptibility to fluid accumulation and infection, making it the primary cause.

A. They occur when the body temperature exceeds 38.3°C (101°F). B. They can be prevented by anticonvulsant medication. C. They usually lead to the development of epilepsy. D. They occur when the temperature rises quickly.

Correct Answer is D

Explanation

Choice A reason: Febrile seizures are not strictly tied to a specific temperature like 38.3°C (101°F) but rather to rapid temperature changes. A fixed threshold oversimplifies the trigger, as the rate of temperature rise is more critical than a single value.
Choice B reason: Anticonvulsants are not routinely used to prevent febrile seizures, as most are benign and self-limiting. Prophylactic medications like phenobarbital are reserved for complex cases, as they carry risks like sedation and do not address the fever’s cause.
Choice C reason: Febrile seizures, especially simple ones, rarely lead to epilepsy (risk <5%). They are typically benign, occurring in neurologically normal children aged 6 months to 5 years, triggered by fever, not indicative of chronic seizure disorders.
Choice D reason: Febrile seizures are triggered by a rapid rise in body temperature, often during the early phase of a fever. This rapid change lowers the seizure threshold in young children, causing neuronal hyperexcitability, leading to seizures, making this the correct explanation.

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The nurse is teaching a client who is prescribed acetaminophen for control of osteoarthritic joint pain. What statement by the client indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Why are infants more susceptible to otitis media?

Correct Answer is D

Explanation

What does the nurse explain to parents of a child with febrile seizures?

Correct Answer is D

Explanation

The nurse is reviewing antiepileptic drug (AED) therapy. Which statements about AED therapy are accurate? (Select all that apply)

Zyvox 600 mg IV once a day is ordered for a patient. The Zyvox is dissolved in 300 mL of normal saline and should infuse over 1 hour. Using tubing with a drop factor of 10 gtt/mL, how many drops per minute should the Zyvox be infused?

The primary health care provider prescribes methotrexate for a client with a new diagnosis of rheumatoid arthritis. The nurse provides health teaching about the drug. What statement by the nurse is appropriate to include about methotrexate?

A nurse is teaching a client with multiple sclerosis who is prescribed cyclophosphamide (Cytoxan) and methylprednisolone (Medrol). Which statement should the nurse include in this client’s discharge teaching?

A client asks the nurse about having a total knee arthroplasty to relieve joint pain. Which factor would place the client at the highest risk for impaired postoperative healing?

A nurse cares for a client who presents with an acute exacerbation of multiple sclerosis (MS). Which prescribed medication should the nurse prepare to administer?

The nurse is preparing to administer amantadine 150 mg PO every 12 hours. The available medication is amantadine 50 mg/5 mL syrup. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

What nursing action will significantly decrease the risk of serious complications for a child in Bryant’s traction?