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?

Improvement of diarrhea.

Relief of epigastric pain.

Decrease in abdominal cramps.

Change in appetite.

Answer and Explanation

The Correct Answer is B

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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Correct Answer is A

Explanation

Choice A rationale

Colchicine and allopurinol are commonly used to manage gout. Colchicine can cause gastrointestinal side effects, including diarrhea. Therefore, it’s important for patients to report any such symptoms to their healthcare provider.

Choice B rationale

While a low-grade fever could potentially be a side effect of many medications, it is not specifically associated with colchicine or allopurinol.

Choice C rationale

Anorexia is not a common side effect of either colchicine or allopurinol.

Choice D rationale

Thinning hair is not a common side effect of either colchicine or allopurinol.

A. “It is best to take this medication with meals to prevent nausea.”. B. “I should stay upright for 30 minutes after taking it to prevent indigestion.”. C. “I will increase my fluid intake to help me cough up the sputum.”. D. “To prevent injury, I should not combine this medication with levothyroxine.”. E. Have you noticed the need to urinate less often?

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

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 patient is receiving tetracycline for Chlamydia urethritis. What instruction should the practical nurse (PN) emphasize?

What action should the practical nurse (PN) instruct the client to perform prior to the instillation of nasal drops?

A patient has been prescribed intravenous (IV) famotidine. Which observation would indicate to the practical nurse (PN) that the medication is having the desired effect?

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

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

The practical nurse (PN) is helping with the care plan for a client who is taking the nonsteroidal anti-inflammatory drug ketorolac for painful back muscle spasms. What intervention should the PN include in the client’s care plan?

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?