The practical nurse (PN) is caring for a client who has a finger stick blood glucose result of 130 mg/dL (7.21 mmol/L). Prior to administering the scheduled dose of acarbose, the PN is informed that the morning meal trays will be delayed 30 minutes.

Which action should the PN take?

Administer the medication.

Notify the healthcare provider.

Obtain another finger stick blood glucose level.

Hold the medication until the meal tray arrives.

Answer and Explanation

The Correct Answer is D

The correct answer is Choice D, Hold the medication until the meal tray arrives. Acarbose is an oral antidiabetic medication that works by slowing the digestion of carbohydrates in the small intestine, thereby reducing the rise in blood glucose after meals. It is important to take acarbose at the start of each main meal, as it works on the food that is consumed. If the meal is delayed, the medication should also be delayed.

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Correct Answer is C

Explanation

Choice A rationale

While taking medication with meals can sometimes help prevent nausea, this is not specifically related to the use of the expectorant guaifenesin. Therefore, this statement does not show that the client has understood the instructions related to the use of the expectorant.

Choice B rationale

Staying upright for 30 minutes after taking medication can sometimes help prevent indigestion, but this is not specifically related to the use of the expectorant guaifenesin. Therefore, this statement does not show that the client has understood the instructions related to the use of the expectorant.

Choice C rationale

Increasing fluid intake can help loosen mucus or phlegm in the lungs, which is the primary purpose of an expectorant like guaifenesin. Therefore, this statement shows that the client has understood the instructions related to the use of the expectorant.

Choice D rationale

While it’s important to avoid combining certain medications due to potential interactions, there’s no specific interaction between guaifenesin and levothyroxine that would cause injury. Therefore, this statement does not show that the client has understood the instructions related to the use of the expectorant.

A. No purulent drainage present from lesions on the legs B. Affected areas are free of localized redness and swelling C. Scaly areas of the skin appear softer with less peeling D. Full range of motion without pain of lower extremity joints . .

Correct Answer is C

Explanation

Choice C rationale

Keratolytics are medications designed to dissolve skin flakes and scales. In the treatment of psoriasis, a condition characterized by thick, scaly patches of skin, the desired effect of a keratolytic would be to soften and reduce these scales.

Choice A rationale

While no purulent drainage present from lesions on the legs could be a positive sign in the treatment of psoriasis, it is not a direct result of the keratolytic properties of the applied preparation.

Choice B rationale

Affected areas being free of localized redness and swelling could be a positive sign in the treatment of psoriasis, but it is not a direct result of the keratolytic properties of the applied preparation.

Choice D rationale

Full range of motion without pain of lower extremity joints is not a direct result of the keratolytic properties of the applied preparation. It could be a positive sign in the overall treatment of psoriasis, but it is not directly related to the use of a keratolytic.

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The practical nurse (PN) is caring for a client who has a finger stick blood glucose result of 130 mg/dL (7.21 mmol/L). Prior to administering the scheduled dose of acarbose, the PN is informed that the morning meal trays will be delayed 30 minutes. Which action should the PN take?

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Naxlex Comprehensive Predictor Exams

The practical nurse (PN) gives the expectorant guaifenesin to a client with an upper respiratory tract infection. Which statement shows that the client has understood the instructions related to the use of the expectorant?

Correct Answer is C

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

The practical nurse applies a preparation with keratolytic properties to both legs of a client with psoriasis. Which finding indicates the desired effect has been achieved?

Correct Answer is C

Explanation

Choice C rationale

Choice A rationale

Choice B rationale

Choice D rationale

A client who is scheduled for colorectal surgery is receiving metronidazole intravenously preoperatively. Which problem should the practical nurse report to the charge nurse?

The practical nurse (PN) is helping with the care plan for a client who is taking the nonsteroidal anti-inflammatory drug ketorolac for painful back muscle spasms. What intervention should the PN include in the client’s care plan?

The practical nurse (PN) is caring for a client with deep vein thrombosis (DVT) who is receiving a prescription for rivaroxaban. Which assessment finding should the PN associate as an adverse effect of this medication and report immediately?

A patient with depression who is taking a tricyclic antidepressant (TCA) reports frequent early morning awakening and difficulty going back to sleep. Which information from the patient is important for the Practical Nurse (PN) to obtain to improve the patient’s sleep pattern?

A patient is receiving tetracycline for Chlamydia urethritis. What instruction should the practical nurse (PN) emphasize?

A client who is taking sildenafil 50 mg by mouth (PO) as needed (PRN), reports experiencing visual changes to the practical nurse (PN). Which instruction should the PN give to the client?

A patient has been prescribed intravenous (IV) famotidine. Which observation would indicate to the practical nurse (PN) that the medication is having the desired effect?

The practical nurse (PN) is caring for a client who has a finger stick blood glucose result of 130 mg/dL (7.21 mmol/L). Prior to administering the scheduled dose of acarbose, the PN is informed that the morning meal trays will be delayed 30 minutes.

Which action should the PN take?