A client asks the nurse why she needs to increase her fluid intake while taking sulfonamides.
Which response by the nurse would be most appropriate?

"The fluids will help to decrease your risk for kidney stones.”.

"You need fluids so that you won't develop a reaction in the sunlight.”.

"Fluids prevent you from getting dehydrated.”.

"You need fluids to keep your blood count from dropping too low.”. .

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Sulfonamides can increase the risk of crystalluria, which may lead to kidney stones. Adequate fluid intake can help dilute the urine and reduce the risk of crystalluria and kidney stone formation. This is a relevant and appropriate response by the nurse.

Choice B rationale:

Sulfonamides can make the skin more sensitive to sunlight, increasing the risk of sunburn. However, increasing fluid intake is primarily to prevent kidney stone formation, not a reaction to sunlight.

Choice C rationale:

While maintaining adequate hydration does help prevent dehydration, this answer does not directly address the potential side effects or risks associated with sulfonamide use. It is a bit too general and doesn't provide specific information related to the medication.

Choice D rationale:

Sulfonamides can affect blood counts in some cases, but maintaining adequate fluid intake is not primarily related to preventing low blood counts. It's more about mitigating the specific side effects associated with sulfonamide use, such as crystalluria and kidney stones.

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Correct Answer is C

Explanation

Choice A rationale:

Bloody diarrhea is not typically associated with a fungal superinfection. This symptom is more indicative of gastrointestinal issues and may be related to other causes such as infection or inflammatory bowel disease.

Choice B rationale:

Abdominal cramping is also not a typical sign of a fungal superinfection. It is more likely to be associated with gastrointestinal problems, food intolerances, or other conditions.

Choice D rationale:

Heartburn is not a common sign of a fungal superinfection. It is usually associated with gastroesophageal reflux disease (GERD) or other gastrointestinal issues. Creamy white patches on the throat (Choice C) are indicative of oral thrush, a fungal superinfection. This condition is caused by the overgrowth of Candida albicans and is commonly seen in individuals with compromised immune systems, such as those on immunosuppressive therapy or with HIV. It is important to recognize these white patches as they may require treatment with antifungal medications to prevent further complications.

A. Fever. B. Hypotension. C. Sedation. D. Constipation.

Correct Answer is A

Explanation

Choice A rationale:

Fever is a common side effect of the influenza vaccine (Fluzone). It's not usually a severe adverse reaction and is typically mild and short-lived. Patients should be informed about this potential side effect so they are aware and can take appropriate measures, such as taking antipyretic medications if needed.

Choice B rationale:

Hypotension is not a common adverse reaction to the influenza vaccine. While vaccines can sometimes cause allergic reactions, leading to symptoms like hypotension, this is very rare. Warning about this potential side effect would not be a priority.

Choice C rationale:

Sedation is not a common adverse reaction to the influenza vaccine. In general, the influenza vaccine is not associated with sedation. This side effect is more likely to be associated with medications or treatments other than vaccines.

Choice D rationale:

Constipation is not a common side effect of the influenza vaccine. Gastrointestinal symptoms like constipation are not typically associated with the influenza vaccine. It's important to focus on informing patients about potential side effects that are more likely to occur.

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A client asks the nurse why she needs to increase her fluid intake while taking sulfonamides.Which response by the nurse would be most appropriate?

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Naxlex Comprehensive Predictor Exams

A nurse is reviewing the signs and symptoms of a fungal superinfection with a client.The client demonstrates understanding of the information when he identifies which of the following as suggesting a fungal superinfection?

Correct Answer is C

Explanation

A nurse should warn a client about which of the following adverse reactions that can occur after the administration of influenza vaccine (Fluzone)?

Correct Answer is A

Explanation

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A client asks the nurse why she needs to increase her fluid intake while taking sulfonamides.
Which response by the nurse would be most appropriate?