The nurse notices that an order for intravenous gentamicin for a newly admitted client is half of the normal dose usually ordered for an adult. Before calling the provider for confirmation of the order, the nurse reviews the client's history to check for which preexisting condition that could have prompted the adjustment to the normal dose?

Antibiotic resistance

Renal disease

Liver disease

Interpatient variation

Answer and Explanation

The Correct Answer is B

A) Antibiotic resistance is not a reason to adjust the dose of gentamicin.

B) Gentamicin is primarily excreted by the kidneys. In the presence of renal disease, the dose may need to be adjusted to prevent toxicity.

C) Liver disease does not directly impact the metabolism or excretion of gentamicin, so it is not typically a factor in dose adjustment.

D) Interpatient variation alone may not prompt a specific dose adjustment; individual patient factors, especially renal function, are crucial in determining gentamicin dosage.

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Correct Answer is B

Explanation

a) Taking sucralfate with an antacid is not recommended, as antacids can interfere with the effectiveness of sucralfate.

b) Sucralfate should be taken 30 to 60 minutes before meals to ensure optimal binding to the gastric mucosa and to form a protective barrier.

c) Taking sucralfate whenever indigestion occurs may not provide consistent protection, as its effectiveness is enhanced when taken before meals.

d) Taking sucralfate immediately after meals is not recommended, as it may interfere with its ability to form a protective coating on the gastric mucosa.

A. "I should chew this medication thoroughly." B. "I can take this with food to avoid stomach irritation." C. "I can give this low-dose aspirin to my five-year-old if he has a fever." D. "I should expect ringing in my ears, as this is normal." E. "If I have black, tarry stools, I should call my provider."

Correct Answer is ["A","C","D"]

Explanation

a. This statement warrants further education because enteric-coated aspirin is specifically designed to be absorbed in the small intestine and should not be chewed. Chewing the enteric coated aspirin can interfere with its protective coating and may lead to stomach irritation.

b. This statement is correct. Taking the aspirin with food can help minimize stomach irritation.

c. This statement warrants further education. Aspirin, even in low doses, should not be given to young children without consulting a healthcare provider due to the risk of Reye's syndrome.

d. This statement warrants further education. Ringing in the ears (tinnitus) is not a normal side effect of aspirin, and persistent symptoms should be reported to the healthcare provider.

e. This statement is correct. Black, tarry stools can indicate gastrointestinal bleeding, and the healthcare provider should be notified promptly.

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Naxlex Comprehensive Predictor Exams

A nurse is talking with a client who has peptic ulcer disease and starting therapy with sucralfate. What must the nurse include in the client education?

Correct Answer is B

Explanation

A client has been prescribed 81 mg of enteric coated aspirin every morning. Which of these statements by the client warrants further education?

Correct Answer is ["A","C","D"]

Explanation

When administering medications to infants, it is essential to remember which of the following? (Select all that apply.)

The diabetic client receives an injection of insulin glargine. What is the duration of insulin glargine?

A nurse is providing teaching for an adult client with arthritis who has been instructed to take ibuprofen for discomfort. Which statement by the client indicates a need for further education?

The nurse is caring for a client who is receiving vancomycin. The nurse notes the client is experiencing flushing, rash, pruritus, and urticaria. The client's heart rate is 120 beats/min, and blood pressure is 92/57 mm Hg. What complication is the client experiencing?

A client is started on warfarin therapy. Identify the appropriate nursing implications associated with this medication. (Select all that apply.)

A client arrives in the emergency department with localized swelling of the lips and tongue. The client's medication list includes the following medications. Which of these medications does the nurse anticipate the provider discontinuing?

A client, who just took his first dose of glipizide, is now experiencing tremors, pallor, and agitation. How should the nurse respond?

A client who is recovering from total knee surgery is preparing for discharge. Which of these statements indicates the client needs further teaching?