A client who is scheduled for colorectal surgery is receiving metronidazole intravenously preoperatively. Which problem should the practical nurse report to the charge nurse?

Seizure activity

Headache

Metallic taste in the mouth

Abdominal cramping

Answer and Explanation

The Correct Answer is A

Choice A rationale

Metronidazole is an antibiotic used to treat various infections. Seizure activity is a serious side effect of metronidazole and should be reported to the charge nurse immediately.

Choice B rationale

While headache is a common side effect of metronidazole, it is not as serious as seizure activity and does not necessarily need to be reported to the charge nurse unless it is severe or persistent.

Choice C rationale

A metallic taste in the mouth is a common side effect of metronidazole. It is not a serious side effect and does not need to be reported to the charge nurse.

Choice D rationale

Abdominal cramping can be a side effect of metronidazole. However, it is not as serious as seizure activity and does not necessarily need to be reported to the charge nurse unless it is severe or persistent.

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Correct Answer is C

Explanation

Choice A rationale

While taking medication with meals can sometimes help prevent nausea, this is not specifically related to the use of the expectorant guaifenesin. Therefore, this statement does not show that the client has understood the instructions related to the use of the expectorant.

Choice B rationale

Staying upright for 30 minutes after taking medication can sometimes help prevent indigestion, but this is not specifically related to the use of the expectorant guaifenesin. Therefore, this statement does not show that the client has understood the instructions related to the use of the expectorant.

Choice C rationale

Increasing fluid intake can help loosen mucus or phlegm in the lungs, which is the primary purpose of an expectorant like guaifenesin. Therefore, this statement shows that the client has understood the instructions related to the use of the expectorant.

Choice D rationale

While it’s important to avoid combining certain medications due to potential interactions, there’s no specific interaction between guaifenesin and levothyroxine that would cause injury. Therefore, this statement does not show that the client has understood the instructions related to the use of the expectorant.

A. Improvement of diarrhea. B. Relief of epigastric pain. C. Decrease in abdominal cramps. D. Change in appetite.

Correct Answer is B

Explanation

Misoprostol is a medication used to prevent stomach ulcers in patients who take nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen over a long period. NSAIDs can cause stomach ulcers, and misoprostol works by reducing the amount of acid in the stomach and replacing the protective substances in the stomach that are reduced by NSAIDs. Therefore, relief of epigastric pain (pain in the upper middle part of the abdomen) would indicate that the medication is effective.

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A client who is scheduled for colorectal surgery is receiving metronidazole intravenously preoperatively. Which problem should the practical nurse report to the charge nurse?

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) gives the expectorant guaifenesin to a client with an upper respiratory tract infection. Which statement shows that the client has understood the instructions related to the use of the expectorant?

Correct Answer is C

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

A client with a history of long-term administration of ibuprofen receives a prescription for misoprostol. Which finding indicates to the practical nurse (PN) that the medication was effective?

Correct Answer is B

Explanation

Four hours after administering promethazine to a male patient, the practical nurse (PN) takes his temperature. When the patient asks the PN about the reason for taking his temperature, how should the PN respond?

When a patient is being administered a 20% mannitol intravenous (IV) solution at a rate of 100 g/24 hours (or 70 mg/min), which outcome data should the practical nurse (PN) prioritize in collection?

A client has a new prescription for montelukast. What information should the practical nurse (PN) include when reinforcing the client’s teaching?

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Mark whether the assessment finding represents a therapeutic result of the Bisacodyl administered, a non therapeutic side-effect, or an unrelated finding.

A client diagnosed with gout has prescriptions for colchicine and allopurinol to control future attacks. What is the most important information for the practical nurse (PN) to reinforce with the client?

Which symptom reported by a client indicates that the practical nurse (PN) should notify the healthcare provider before giving a scheduled dose of propranolol?