A client has been prescribed 81 mg of enteric coated aspirin every morning. Which of these statements by the client warrants further education?
"I should chew this medication thoroughly."
"I can take this with food to avoid stomach irritation."
"I can give this low-dose aspirin to my five-year-old if he has a fever."
"I should expect ringing in my ears, as this is normal."
"If I have black, tarry stools, I should call my provider."
Correct Answer : A,C,D
a. This statement warrants further education because enteric-coated aspirin is specifically designed to be absorbed in the small intestine and should not be chewed. Chewing the enteric coated aspirin can interfere with its protective coating and may lead to stomach irritation.
b. This statement is correct. Taking the aspirin with food can help minimize stomach irritation.
c. This statement warrants further education. Aspirin, even in low doses, should not be given to young children without consulting a healthcare provider due to the risk of Reye's syndrome.
d. This statement warrants further education. Ringing in the ears (tinnitus) is not a normal side effect of aspirin, and persistent symptoms should be reported to the healthcare provider.
e. This statement is correct. Black, tarry stools can indicate gastrointestinal bleeding, and the healthcare provider should be notified promptly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a) A digoxin level of 1.2 ng/mL is within the therapeutic range, and holding the medication based solely on the level may not be necessary.
b) Seeing yellow-green halos is a symptom of digoxin toxicity, and holding the medication is appropriate to prevent further adverse effects.
c) Edema alone may not be a contraindication for administering digoxin; the nurse would assess other factors such as heart rate and rhythm.
d) Pacing and thirst are not specific signs of digoxin toxicity, and the nurse would need to assess other symptoms and factors before deciding to hold the medication.
Correct Answer is ["B","C","E"]
Explanation
a) Advising the client to avoid prolonged immobility and participate in exercise activities is a general health recommendation but not specifically related to warfarin therapy.
b) Safe and effective warfarin therapy requires rigid adherence to the dosing schedule to maintain therapeutic anticoagulation levels.
c) Monitoring PT/INR frequently initially and then regularly helps assess the effectiveness and safety of warfarin therapy.
d) Encouraging the use of NSAIDs is not recommended with warfarin due to the increased risk of bleeding.
e) Instructing the client to avoid foods high in Vitamin K is important because Vitamin K can interfere with the anticoagulant effects of warfarin.
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