What is an appropriate nursing action for a hospitalized client receiving aprepitant?

Monitor the client’s temperature closely.

Place an NPO sign above the client’s bed.

Encourage fluids as tolerated.

Elevate the head of the bed

Answer and Explanation

The Correct Answer is C

This is because aprepitant can cause dehydration as an adverse effect, so the nurse will want to encourage the client to drink as much liquid as possible.

Choice A is wrong because the client’s temperature would not be affected by aprepitant.

Choice B is wrong because the client must be encouraged for fluid intake as tolerated, so placing an NPO sign on the door would not be appropriate for this client.

Choice D is wrong because elevating the head of the bed would be unnecessary for a client receiving aprepitant.

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Correct Answer is A

Explanation

This is the recommended dosage for the prevention and treatment of osteoporosis in postmenopausal women.

Choice B is wrong because 70 mg once a week is the dosage for alendronate (Fosamax), not ibandronate.

Choice C is wrong because 400 mg/d is the dosage for etidronate (Didronel), not ibandronate.

Choice D is wrong because ibandronate should be taken on an empty stomach, at least 60 minutes before food or drink.

A. Monitoring the client for increased bruising. B. Assessing for signs and symptoms of infection. C. Assessing the client’s level of consciousness. D. Monitoring the client’s electrolyte levels.

Correct Answer is A

Explanation

This is because levothyroxine can increase the anticoagulant effect of oral anticoagulants and increase the risk of bleeding. The nurse should check the client’s prothrombin time and international normalized ratio (INR) regularly and report any abnormal values to the prescriber.

Choice B is wrong because hypothyroidism does not increase the risk of infection.

Choice C is wrong because hypothyroidism does not affect the level of consciousness unless it is severe and causes myxedema coma.

Choice D is wrong because hypothyroidism does not cause electrolyte imbalances.

Normal ranges for prothrombin time are 11 to 13.5 seconds and for INR are 0.8 to 1.22.

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What is an appropriate nursing action for a hospitalized client receiving aprepitant?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching the client with a new prescription for ibandronate how to take the medication. Which instruction provided by the nurse is correct?

Correct Answer is A

Explanation

A client has a history of atrial fibrillation and is taking an oral anticoagulant. The client has been newly diagnosed with hypothyroidism and placed on levothyroxine. What assessment should the nurse prioritize?

Correct Answer is A

Explanation

The client, newly diagnosed with diabetic retinopathy, asks what caused this disorder. What is the nurse’s best response?

The nurse is providing client teaching regarding the administration of levothyroxine. What is the nurse’s priority teaching point?

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