Exhibits

Review H and P, nurse's notes, laboratory results, flow sheet, and orders.

Click to mark whether the assessment finding represents a therapeutic result of the sodium bicarbonate administered, a non-therapeutic side-effect, or an unrelated finding.

Heart rate 77 bpm

400 mL Urine Output

Bicarbonate 22 mEq/L (22 mmol/L)

Blood pressure 113/72 mmHg

pH 7.35

Sodium 152 mEq/L (152 mmol/L)

Capillary refill 2 seconds

Answer and Explanation

The Correct Answer is {"A":{"answers":"C"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"C"},"E":{"answers":"A"},"F":{"answers":"A"},"G":{"answers":"A"}}

Heart rate 77 bpm: Unrelated finding

400 mL Urine Output: Therapeutic result (indicating improved renal function)

Bicarbonate 22 mEq/L (22 mmol/L): Therapeutic result (indicating correction of acid-base imbalance)

Blood pressure 113/72 mmHg: Unrelated finding (within normal range)

pH 7.35: Therapeutic result (indicating improvement in acid-base balance)

Sodium 152 mEq/L (152 mmol/L): Therapeutic result (indicating improved electrolyte balance)

Capillary refill 2 seconds: Therapeutic result (indicating improved perfusion)

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Breastfeeding is not recommended while taking this medication:

While it's important to avoid breastfeeding while taking isotretinoin due to potential risks to the infant, the priority in this scenario is preventing exposure to the medication during pregnancy.

The most important information for the nurse to provide to a young adult female client planning to become pregnant while taking isotretinoin for cystic acne is:

B. Discontinue this medication one month before attempting to conceive.

Explanation: Isotretinoin (commonly known as Accutane) is a teratogenic medication, which means it can cause severe birth defects if taken during pregnancy. Therefore, it is crucial for the client to discontinue this medication well before attempting to conceive. The recommended time frame to wait after stopping isotretinoin before attempting conception varies but is generally at least one month. The specific duration should be discussed with the healthcare provider.

C. Do not take multiple vitamins that contain vitamin A while taking this drug:

Avoiding excessive vitamin A intake is important to prevent vitamin A toxicity, but it is not the most critical piece of information for a client planning to become pregnant while on isotretinoin.

D. Baseline liver function results must be obtained during therapy:

Monitoring liver function is important during isotretinoin therapy, but the priority in this scenario is preventing fetal exposure to the medication by discontinuing it before attempting pregnancy.

A. Losartan B. Ibuprofen C. Amlodipine D. Sulfa E. Insulin lispro

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"c"},"E":{"answers":"c"}}

Explanation

Here are the potential effects of each drug on captopril's blood pressure effects:

Losartan: Decrease - Losartan is an angiotensin receptor blocker (ARB) that can lower blood pressure. When used in combination with captopril (an ACE inhibitor), it may enhance the antihypertensive effects, potentially leading to an additive blood pressure-lowering effect.

Ibuprofen: Increase - Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), can lead to sodium and water retention and potentially raise blood pressure. When combined with captopril, it may diminish captopril's blood pressure-lowering effects.

Amlodipine: No Effect - Amlodipine is a calcium channel blocker used to treat high blood pressure. It has a different mechanism of action than captopril and combining them typically does not interfere significantly with each other's effects.

Sulfa: No Effect - Sulfonamides (sulfa drugs) are antibiotics that generally do not directly impact blood pressure or interact with antihypertensive medications like captopril in terms of blood pressure effects.

Insulin lispro: No Effect - Insulin lispro is used to manage blood glucose levels in diabetes. While uncontrolled blood glucose can indirectly affect blood pressure, insulin lispro itself does not directly interact with captopril's blood pressure effects.

Please note that drug interactions can be complex, and individual responses may vary. It's crucial for the healthcare provider to monitor the patient's blood pressure and adjust medications as needed to achieve optimal control.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Exhibits Review H and P, nurse's notes, laboratory results, flow sheet, and orders. Click to mark whether the assessment finding represents a therapeutic result of the sodium bicarbonate administered, a non-therapeutic side-effect, or an unrelated finding.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A young adult female client who is planning to become pregnant asks the nurse if she can continue taking isotretinoin for cystic acne. Which information is most important for the nurse to provide this client?

Correct Answer is B

Explanation

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"c"},"E":{"answers":"c"}}

Explanation

A client is receiving intravenous (1V) vancomycin and the nurse plans to draw blood for a peak a. trough to determine the serum level of the drug. Which collection times provide the best determination of these levels?

On admission, the healthcare provider prescribes a broad spectrum antibiotic for a client with a gram-negative infection. Before administering the first dose, it is most Important for the nurse to implement which prescription?

After receiving five doses of filgrastim, the nurse notes that the client's white blood cell count has increased from 2,500/mm³ (2.5x 10L) to 5,000/mm³ (5 x 10"/L) Which action should the nurse implement? White Blood Cell (WBC) [Reference Range: 5000 to 10,000/mm3 (5 to 10 x 109/L)]

Prior to administering the evening dose of carbamazepine, the nurse notes that the client's moming carbamazepine level was 8.4 mcg/l. (35.6 mmol/L), Which action should the nurse take? Reference Range Carbamazepine level [Reference Range: 4 to 12 mcg/mL or 16.9 to 50.8 mcmoVL]

A female client with multiple sclerosis reports having less fatigue and improved memory since she began using the herbal supplement, ginkgo biloba. Which information is most important for the nurse to include in the teaching plan for this client?

The nurse is providing instructions about a client's new medications. How should the nurse explain the purpose of probenecid, a uricosuric drug?

A client with chemotherapy induced nausea receives a prescription for metoclopramide. Which adverse effect is most important for the nurse to repart?

Exhibits

Review H and P, nurse's notes, laboratory results, flow sheet, and orders.

Click to mark whether the assessment finding represents a therapeutic result of the sodium bicarbonate administered, a non-therapeutic side-effect, or an unrelated finding.