A client with narcolepsy receives a new prescription for methylphenidate. Prior to administration of the medication, the nurse should review the medical record for which condition?

Bronchitis.

Diabetes mellitus.

Hypertension.

Hypercholesterolemia.

Answer and Explanation

The Correct Answer is C

A) Bronchitis: Methylphenidate, a central nervous system stimulant, is not contraindicated in clients with bronchitis. While caution may be warranted in individuals with respiratory conditions due to potential stimulant effects, bronchitis alone does not necessitate specific precautions or contraindications for methylphenidate use.

B) Diabetes mellitus: Methylphenidate use does not typically pose significant risks for individuals with diabetes mellitus. While stimulant medications may affect appetite and blood glucose levels, they are not contraindicated in clients with diabetes. Monitoring blood glucose levels may be prudent, but it is not the primary concern when reviewing the medical record before administering methylphenidate.

C) Hypertension: Reviewing the medical record for hypertension is essential before administering methylphenidate. Stimulant medications like methylphenidate can increase heart rate and blood pressure, potentially exacerbating hypertension or cardiovascular conditions. Clients with uncontrolled hypertension may require dose adjustments or alternative treatments to mitigate cardiovascular risks associated with methylphenidate use.

D) Hypercholesterolemia: Methylphenidate is not contraindicated in clients with hypercholesterolemia. While stimulant medications may have minor effects on lipid profiles, they are not typically considered significant enough to warrant specific precautions or contraindications in individuals with hypercholesterolemia.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A) Taking the medication one hour after meals and other medications may help prevent interference with the absorption of nutrients or other medications. However, it is not a specific instruction related to the administration of bulk-forming laxatives.

B) Remaining upright for thirty minutes following drug administration is a common instruction for medications that may cause esophageal irritation or reflux. However, it is not typically necessary for bulk-forming laxatives, which work primarily in the colon rather than the esophagus or stomach.

C) Following medication administration with an additional glass of water is the correct instruction for self-administration of bulk-forming laxatives. These laxatives absorb water in the intestines, which helps to soften the stool and promote bowel movements. Adequate hydration is essential to prevent the bulk-forming laxative from causing intestinal obstruction.

D) Avoiding the intake of dairy products while using the medication is not a specific instruction related to the administration of bulk-forming laxatives. Bulk-forming laxatives are generally well-tolerated and do not interact with dairy products. However, increasing fluid intake, particularly water, is essential to prevent constipation and ensure the effectiveness of the medication.

Correct Answer is ["0.8"]

Explanation

The nurse should administer 0.8 mL of the enoxaparin sodium injection.

Here's th’ breakdown of the calculation:

Prescribed dose: 80 mg

Available medication: 60 mg/0.6 mL

The nurse needs to determine the volume of the available medication that delivers the prescribed dose of 80 mg. We can set up a proportion to find the desired volume (x):

Prescribed dose (mg) : Desired volume (mL) = Concentration (mg/mL) : Available volume (mL)

Plugging in the values:

80 mg : x mL = 60 mg/0.6 mL : 0.6 mL

To isolate x (desired volume), we can cross-multiply:

x mL x (60 mg/0.6 mL) = 80 mg x 0.6 mL

Simplifying the equation

0.6x mL = 48 mg

To find x (desired volume), we can divide both sides by 0.6 mL:

x mL = (48 mg) / (0.6 mL/mL) // Cancel out units (mg/mL)

x = 80 mL

However, the answer needs to be rounded to the nearest tenth since medication dosages are measured precisely.

Therefore, the nurse should administer 0.8 mL of the enoxaparin sodium injection.

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A client with narcolepsy receives a new prescription for methylphenidate. Prior to administration of the medication, the nurse should review the medical record for which condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which instruction should the nurse include when teaching a client about self-administration of a bulk-forming laxative?

Correct Answer is C

Explanation

Correct Answer is ["0.8"]

Explanation

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