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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is the most immediate and important action to take to prevent the potential spread of COVID-19, especially in a healthcare setting where there is a risk of infecting others.
Choice B reason: While placing the swab in a biohazard bag is a standard procedure, it is not as critical as isolating the patient to prevent transmission.
Choice C reason: Assisting the client to recall contacts is important for contact tracing, but it is secondary to immediate infection control measures within the clinic.
Choice D reason: Educating the client on preventive measures is important, but it does not take precedence over immediate actions to prevent the spread of infection in the clinic.
Correct Answer is ["0.3"]
Explanation
Step 1: Convert the client's weight from lbs to kg using the conversion factor you provided (1 kg = 2.2 lbs).
So, 110 lbs × (1 kg ÷ 2.2 lbs) = 50 kg
Step 2: Calculate the daily dosage of dalteparin in units using the prescription (150 units/kg).
So, 50 kg × 150 units/kg = 7500 units
Step 3: Determine how many mL of the medication this dosage corresponds to using the information on the syringe (7500 units/0.3 mL).
So, 7500 units × (0.3 mL ÷ 7500 units) = 0.3 mL
The nurse should administer 0.3 mL of dalteparin to the client.
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