A client receives a prescription for allopurinol. Which information provided by the client requires additional instruction by the nurse?

Double the dose if a dose is missed.

Reduce caffeine and acidic intake.

Avoid taking on an empty stomach.

Consume 2. liters of water daily.

Answer and Explanation

The Correct Answer is A

A. Double the dose if a dose is missed:
This instruction is incorrect. Clients should not double their dose of allopurinol if they miss a dose. Instead, they should take the missed dose as soon as they remember, unless it is almost time for the next dose. Doubling the dose can lead to overdose and potential side effects.

B. Reduce caffeine and acidic intake:
Reducing caffeine and acidic foods can help manage gout and lower uric acid levels, making this advice appropriate.

C. Avoid taking on an empty stomach:
While allopurinol can be taken with or without food, some clients might find it less irritating if taken with food. This guidance is intended to reduce gastrointestinal discomfort.

D. Consume 2 liters of water daily:
Drinking adequate fluids helps prevent kidney stones and promotes overall kidney health, which is especially important when taking allopurinol. This advice supports effective medication use and overall health.

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 C

Explanation

A) Use the cream only on intact skin: This is correct advice as applying betamethasone cream to broken or infected skin can exacerbate the condition or lead to systemic absorption and side effects. Ensuring the cream is applied only to intact skin helps prevent complications.

B) Apply the cream to the area for 2 weeks: This instruction is appropriate depending on the severity of the eczema and the prescribing healthcare provider’s guidance. Typically, topical corticosteroids like betamethasone are used for a prescribed duration, often not exceeding 2 weeks to avoid potential side effects.

C) Cover the site with an occlusive dressing: This indicates a need for further teaching. Occlusive dressings are generally not recommended with topical corticosteroids unless specifically instructed by a healthcare provider. They can increase the absorption of the medication, potentially leading to more side effects, such as thinning of the skin.

D) Limit exposure to direct sunlight: This is good advice because corticosteroids can increase skin sensitivity to sunlight, leading to potential sunburn or other skin issues. Clients should be advised to protect their skin from excessive sun exposure while using such medications.

A. A quiet, restful environment. B. A dimly lit room. C. A warm room temperature. D. Cool, humidified air.

Correct Answer is B

Explanation

A. A quiet, restful environment:
While a quiet and restful environment may be beneficial for general comfort, it does not specifically address the visual issues related to the use of mydriatic medications. Mydriatics cause pupil dilation, which can increase sensitivity to light, so a dimly lit room is more appropriate for managing light sensitivity.

B. A dimly lit room:
A dimly lit room is best for a client receiving mydriatic medication because mydriatics cause pupil dilation, which can lead to increased sensitivity to light and difficulty with bright environments. Reducing light exposure helps manage these symptoms and improve comfort.

C. A warm room temperature:
While maintaining a comfortable room temperature is important, it does not specifically address the visual discomfort caused by mydriatic medications. The primary concern here is light sensitivity, which is better managed with dim lighting rather than room temperature.

D. Cool, humidified air:
Cool, humidified air can be helpful for certain respiratory conditions or comfort but does not directly address the issue of light sensitivity associated with mydriatic medication use. The focus should be on managing light exposure rather than air quality.

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

A client receives a prescription for allopurinol. Which information provided by the client requires additional instruction by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with eczema receives a prescription for betamethasone cream. Which client statement indicates to the nurse that further teaching is needed?

Correct Answer is C

Explanation

The nurse is planning the home care of a client who is receiving a mydriatic medication. Which environment is best for this client?

Correct Answer is B

Explanation

The nurse is teaching a client how to use an inhaler device. Which client statement indicates to the nurse that the client understands the instructions?

The nurse is reviewing the client's laboratory values. Which serum laboratory value indicates to the nurse that a prescription for atorvastatin is having the desired effect for a client at risk for coronary artery disease?

A female client with a history of peptic ulcer disease receives a prescription for misoprostol. Which information provided by the client indicates to the nurse a need for further teaching?

The nurse is providing discharge instructions to a client who has been prescribed gabapentin 300 mg by mouth (PO) three times a day for postherpetic neuralgia. Which symptom should the nurse tell the client to report to the healthcare provider?

A client with allergic rhinitis is taking the over-the-counter antihistamine diphenhydramine HCL. Which instruction is most important for the nurse to provide this client?