A daily dose of aspirin 325 mg PO is most beneficial for an adult client with which medical diagnosis?

Gout.

Sepsis.

Myocardial infarction.

Rheumatoid arthritis.

Answer and Explanation

The Correct Answer is C

A. Gout: Aspirin is not typically used for treating gout. Gout is commonly treated with medications like allopurinol or colchicine, and nonsteroidal anti-inflammatory drugs (NSAIDs) are used selectively.
B. Sepsis: Aspirin is not a primary treatment for sepsis. Sepsis is usually treated with antibiotics, fluid resuscitation, and supportive care.
C. Myocardial infarction: Aspirin is beneficial for preventing further myocardial infarctions (heart attacks) in patients with a history of cardiovascular events or at high risk. It works by inhibiting platelet aggregation, thereby reducing the risk of blood clot formation that can lead to heart attacks.
D. Rheumatoid arthritis: Although aspirin can be used for symptomatic relief in rheumatoid arthritis due to its anti-inflammatory properties, it is not the primary treatment. Other medications, such as disease-modifying antirheumatic drugs (DMARDs) and nonsteroidal anti-inflammatory drugs (NSAIDs), are typically used.

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Correct Answer is A

Explanation

A) Teach the client self-injection skills for daily subcutaneous administration: Insulin glargine is a long-acting insulin that is typically administered once daily via subcutaneous injection. Teaching the client how to properly administer insulin injections is crucial for managing type 2 diabetes effectively. Proper technique and routine are essential for ensuring correct dosing and preventing complications.

B) Demonstrate how to select dose based on before-meal blood sugar readings: Insulin glargine is not used for adjusting doses based on pre-meal blood sugar readings; it provides a steady baseline of insulin coverage throughout the day. Dose adjustments for type 2 diabetes are generally not based on meal-time glucose readings with long-acting insulin.
C) Explain to the family how to inject this medication for severe hypoglycemia: Insulin glargine is used to maintain long-term glucose control and is not typically used in emergency situations like severe hypoglycemia. Emergency treatment for severe hypoglycemia generally involves glucose administration rather than insulin injections.
D) Provide information on increasing medication dosage if ketoacidosis occurs: Insulin glargine is not adjusted based on acute conditions such as ketoacidosis. Management of diabetic ketoacidosis involves more immediate insulin and fluid management strategies, and dosage adjustments should be guided by a healthcare provider, not based on routine discharge instructions.

A. Administer sucralfate once a day, preferably at bedtime. B. Monitor for electrolyte imbalance. C. Assess for secondary Candida infection. D. Give sucralfate on an empty stomach.

Correct Answer is D

Explanation

A. Administer sucralfate once a day, preferably at bedtime: Sucralfate is typically administered multiple times a day, not just once. It is commonly given in divided doses, often four times a day, to ensure adequate coverage and effectiveness. Administering it at bedtime alone would not provide consistent therapeutic effects.
B. Monitor for electrolyte imbalance: Sucralfate is not known to cause significant electrolyte imbalances. It works locally in the gastrointestinal tract and does not usually affect electrolyte levels, so monitoring for electrolyte imbalances is not a primary concern with this medication.
C. Assess for secondary Candida infection: While sucralfate may affect the gastrointestinal flora, secondary Candida infections are not a common side effect. Sucralfate is not an antibiotic and does not typically lead to fungal infections.
D. Give sucralfate on an empty stomach: Sucralfate should be administered on an empty stomach, ideally 1 hour before meals or 2 hours after meals. This allows the medication to properly adhere to the ulcer site and form a protective barrier, enhancing its effectiveness in treating peptic ulcers.

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A daily dose of aspirin 325 mg PO is most beneficial for an adult client with which medical diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is planning discharge teaching for a client with type 2 diabetes mellitus who has a new prescription for insulin glargine. Which action should the nurse plan to include in the discharge teaching?

Correct Answer is A

Explanation

The nurse is planning to administer sucralfate to a client with peptic ulcer disease. Which action should the nurse indude in this patient's plan of care?

Correct Answer is D

Explanation

Prior to administration of the initial dose of the gastrointestinal (GI) agent misoprostol, which information should the nurse obtain from the patient?

Based on the capillary glucose measurement, a client is to receive 10 units of regular insulin. The client's medication drawer contains one vial of a 70/30 mixture of regular Insulin and Isophane insulin How should the nurse prepare the prescribed dose?

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

A client is scheduled for a spiral computed tomography (CT) scan with contrast to evaluate for pulmonary embolism. Which information in the client's history requires follow up by the nurse?

During an annual physical exam, an older adult tells the nurse of using goldenseal as an herbal supplement. Which additional history should the nurse gather from the client?

During a home visit, a client informs the nurse about feeling like the heart is skipping beats. When reviewing the client's record, the nurse notes that the client is taking hydrochlorothiazide. Based on these assessment data, the nurse plans to obtain a blood sample to check for which condition?