A male client who has been taking a high dose of a nonsteroidal antiinflammatory drug (NSAID) comes to the clinic reporting gastric pain and blood in his stool. The healthcare provider discontinues the NSAIDs and prescribes esomeprazole. Which information should the nurse include in this client's teaching plan?

Once pain subsides, NSAID therapy can be resumed.

Resume a diet that consists of milk, cream, and bland foods.

Notify the healthcare provider of the passage of black stools.

Call the clinic if diarrhea or headache occur when taking esomeprazole.

Answer and Explanation

The Correct Answer is C

A. NSAIDs should not be resumed without medical advice, especially if there has been significant gastrointestinal bleeding.
B. A diet of milk, cream, and bland foods is not specifically recommended for this condition and does not address the underlying issue of NSAID-induced gastrointestinal damage.
C. Black stools can indicate gastrointestinal bleeding, which is a serious side effect of NSAIDs and requires immediate medical attention.
D. While esomeprazole can cause side effects like diarrhea or headache, they are not as urgent as reporting possible gastrointestinal bleeding.

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Free Nursing Study Resources

Correct Answer is ["A","C","D","E","F","H"]

Explanation

A. (The dose of insulin drawn up in the syringe): Ensures the correct dosage is being administered, which is critical to avoid under- or overdosing.
B. The site for the insulin administration is not typically double-checked with another nurse, as they are part of the nurse's standard assessment and practice.
C. (The type of insulin to be administered): Confirms that the correct insulin type (e.g., insulin lispro) is being given, as administering the wrong type could lead to improper glucose control.
D. (The sliding scale insulin lispro prescription): Verifies the correct sliding scale dosing, ensuring it matches the client's current blood glucose level.
E. (The insulin concentration): Ensures the insulin concentration is appropriate and aligns with the prescribed dose.
F. (The insulin vial for color and clarity): Confirms that the insulin is not compromised; any discoloration or cloudiness could indicate that the insulin is not safe to use.
H. (The expiration date on the insulin vial): Ensures the insulin is within its expiration date and effective.
G. The history and physical with the diabetes diagnosis listed are not typically double-checked with another nurse, as they are part of the nurse's standard assessment and practice.

A. Platelet count of 100,000/mm3 (100 x 10^9/L). B. Serum creatinine 1.0 mg/dL (88.4 μmol/L). C. Blood urea nitrogen (BUN) 20 mg/dL (7.1 mmol/L). D. Hematocrit 45% (0.45 volume fraction).

Correct Answer is A

Explanation

A. A platelet count of 100,000/mm3 indicates thrombocytopenia, which increases the risk of bleeding with enoxaparin and requires immediate action.
B. A serum creatinine level of 1.0 mg/dL is within the normal range and does not require immediate action.
C. A BUN level of 20 mg/dL is at the upper end of the normal range but does not typically require immediate action unless accompanied by other symptoms.
D. A hematocrit level of 45% is within the normal range and does not require immediate action.

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Naxlex Comprehensive Predictor Exams

Exhibits The nurse prepares to give 2 units of insulin lispro. Which should the nurse double check with a second nurse? Select all that apply.

Correct Answer is ["A","C","D","E","F","H"]

Explanation

Correct Answer is A

Explanation

Before administering a laxative to a bedfast client, it is most important for the nurse to perform which assessment?

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