To prevent yellow or brown discoloration of teeth, tetracycline use should be avoided in which of the following clients?

Clients taking calcium supplements.

Children with fully developed permanent teeth

Clients that are lactose intolerant.

Pregnant clients after the fourth month of gestation.

Answer and Explanation

The Correct Answer is B

a) Tetracycline should not be taken with calcium supplements as calcium can interfere with its absorption, but this is not related to tooth discoloration.

b) Tetracycline can cause yellow or brown discoloration of teeth in children with developing permanent teeth. It is generally contraindicated in children under 8 years of age.

c) Lactose intolerance is not directly related to the risk of tooth discoloration with tetracycline.

d) Tetracycline is generally contraindicated in pregnant clients, especially after the fourth month of gestation, due to potential effects on fetal bone and tooth development.

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Correct Answer is B

Explanation

a) Concurrent use of acetaminophen is not directly related to heparin therapy for atrial fibrillation. It may need attention but does not warrant immediate reporting.

b) An aPTT of 80 seconds is significantly prolonged and may indicate a risk of bleeding due to excessive anticoagulation. This finding requires immediate notification to the healthcare provider.

c) An INR of 0.8 is within the normal range and does not pose an immediate concern in the context of heparin infusion.

d) Dark, tarry stools could indicate gastrointestinal bleeding but may not be directly related to heparin therapy. It sho

A. Oral medications are contraindicated in infants. B. Breastfeeding infants are more likely to develop toxicity when given lipid-soluble drugs. C. Immaturity of renal function in infancy causes infants to excrete drugs less efficiently. D. Infants are more sensitive to medications that act on the central nervous system. E. Infants have immature livers, which slow drug metabolism.

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

Explanation

a) This is false because oral medications can be given to infants if they are in liquid form, have a suitable dose, and are administered with a dropper or syringe. However, oral medications should be given with caution and only when prescribed by a doctor.

b) This is false because lipid-soluble drugs are not easily passed into breast milk and do not affect breastfeeding infants. However, some drugs can be harmful to breastfeeding infants and should be avoided or used with caution by nursing mothers.

c) Immaturity of renal function in infancy affects drug excretion, potentially leading to prolonged drug effects and increased risk of toxicity.

d) Infants are more sensitive to medications that act on the central nervous system, and dose adjustments may be needed to prevent adverse effects.

e) Immature liver function in infants can slow down drug metabolism and elimination, leading to a higher risk of drug accumulation and toxicity.

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To prevent yellow or brown discoloration of teeth, tetracycline use should be avoided in which of the following clients?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a new diagnosis of atrial fibrillation is receiving a continuous infusion of heparin. Which finding will the nurse report immediately?

Correct Answer is B

Explanation

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

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

Explanation

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