A client receives a prescription for itraconazole. Which statement made by the client requires additional instruction by the nurse?

Monitoring for changes in stool color is important.

Drinking grapefruit juice will reduce the effects of the medication.

I should take the medication with antacids.

If I experience any difficulty with breathing, I will report it.

Answer and Explanation

The Correct Answer is C

Choice A reason: Monitoring for changes in stool color can be important when taking certain medications, but it is not specifically required for itraconazole.

Choice B reason: Drinking grapefruit juice actually increases the effects of itraconazole by inhibiting its metabolism, not reducing its effects. Therefore, patients should avoid grapefruit juice while taking itraconazole.

Choice C reason: Antacids can decrease the absorption of itraconazole, making it less effective. Patients should take itraconazole with food and an acidic drink, like cola or orange juice, but not with antacids.

Choice D reason: Reporting any difficulty with breathing is appropriate advice for any medication and does not require additional instruction.

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Correct Answer is ["A","E"]

Explanation

The correct answer is: A. Teach the client to use an incentive spirometer every 2 hours while awake and E. Remove the urinary catheter as soon as possible and encourage voiding.

Choice A reason:

Teaching the client to use an incentive spirometer every 2 hours while awake helps prevent postoperative pulmonary complications such as pneumonia. This intervention promotes lung expansion and clears secretions, reducing the risk of infection.

Choice B reason:

Administering low molecular weight heparin as prescribed is important for preventing deep vein thrombosis (DVT) and pulmonary embolism, but it does not directly reduce the risk of infection.

Choice C reason:

Assessing the pain level and medicating as needed is crucial for patient comfort and mobility, but it does not directly address infection prevention. Effective pain management can indirectly support recovery by enabling better mobility and respiratory function.

Choice D reason:

Maintaining sequential compression devices while in bed is aimed at preventing DVT, not infections. These devices help improve blood circulation and reduce the risk of blood clots.

Choice E reason:

Removing the urinary catheter as soon as possible and encouraging voiding reduces the risk of catheter-associated urinary tract infections (CAUTIs). Prompt removal of the catheter minimizes the duration of exposure to potential pathogens, thereby reducing infection risk.

Correct Answer is ["2.4"]

Explanation

Step 1: Convert the weight from pounds to kilograms. We know that 1 kg = 2.2 lbs. So, the weight in kg is:

175 lbs ÷ 2.2 = 79.55 kg

Step 2: Calculate the total units of heparin needed. The prescription is for 3 units/kg, so:

3 units/kg × 79.55 kg = 238.65 units

Step 3: Calculate the volume of heparin to administer. The vial is labeled as "100 units/mL", so:

238.65 units ÷ 100 units/mL = 2.39 mL

So, the nurse should administer approximately 2.4 mL of heparin (rounded to the nearest tenth).

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A client receives a prescription for itraconazole. Which statement made by the client requires additional instruction by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older adult client is admitted for the repair of a broken hip. To reduce the risk of infection in the postoperative period, which nursing care interventions should the nurse include in the client's plan of care? Select all that apply.

Correct Answer is ["A","E"]

Explanation

The healthcare provider has prescribed heparin, 3 units/kg to be administered via IV push for a client who weighs 175 pounds. The vial is labeled as "100 units/mL." How many mL should the nurse administer? (Please enter the numerical value only. If rounding is required, round to the nearest tenth.)

Correct Answer is ["2.4"]

Explanation

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