A nurse is caring for a female client in a clinic.

Exhibits

A nurse is planning to provide teaching to the client about the new prescription. For each teaching statement made by the nurse, click to specify if the teaching statement is indicated or contraindicated for the client.

“It is expected for your stools to be black while taking this medication.”

“Take this medication with an antacid if you experience heartburn from the medication.”

“Drinking orange juice with this medication decreases the absorption of the medication.”

“You can take this medication with meals if you experience discomfort when taking it on an empty stomach.”

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"}}

Here are the indications for each teaching statement:

“It is expected for your stools to be black while taking this medication.”
- Indicated: This is a common side effect of iron supplements like ferrous sulfate.
“Take this medication with an antacid if you experience heartburn from the medication.”
- Contraindicated: Antacids can interfere with the absorption of iron. It’s better to take the iron supplement with vitamin C or a source of vitamin C to enhance absorption.
“Drinking orange juice with this medication decreases the absorption of the medication.”
- Contraindicated: This statement is incorrect. Vitamin C, found in orange juice, actually enhances the absorption of iron.
“You can take this medication with meals if you experience discomfort when taking it on an empty stomach.”
- Indicated: Taking iron supplements with food can help reduce gastrointestinal discomfort, although it may slightly reduce absorption.

Teaching Statement	Indicated	Contraindicated
It is expected for your stools to be black while taking this medication.	✓
Take this medication with an antacid if you experience heartburn from the medication.		✓
Drinking orange juice with this medication decreases the absorption of the medication.		✓
You can take this medication with meals if you experience discomfort when taking it on an empty stomach.

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Correct Answer is A

Explanation

Choice A rationale
Vomiting is a common sign of digoxin toxicity. Other symptoms include nausea, confusion, and visual disturbances.
Choice B rationale
Dilated pupils are not a typical sign of digoxin toxicity. Symptoms are more related to gastrointestinal and cardiac effects.
Choice C rationale
Bruising is not directly associated with digoxin toxicity. It may indicate other issues such as coagulopathy.
Choice D rationale
Peripheral edema is not a specific sign of digoxin toxicity. It is more commonly associated with heart failure.

A. Assess the client’s gag reflex before offering oral intake. B. Listen to the client’s breath sounds. C. Monitor the client’s oxygen saturation. D. Monitor the client for manifestations of bleeding. E. Assess the client’s puncture site. F. Observe the client for manifestations of a pneumothorax.

Correct Answer is ["A","B","C","D","F"]

Explanation

Choice A rationale
Assessing the client’s gag reflex before offering oral intake is essential to prevent aspiration. The gag reflex may be diminished after moderate sedation and the use of local anesthetics during bronchoscopy.
Choice B rationale
Listening to the client’s breath sounds is important to detect any abnormalities, such as wheezing, crackles, or decreased breath sounds, which could indicate complications like bronchospasm or pneumothorax.
Choice C rationale
Monitoring the client’s oxygen saturation is crucial to ensure adequate oxygenation and detect any signs of respiratory distress or hypoxemia following the procedure.
Choice D rationale
Monitoring the client for manifestations of bleeding is necessary because bronchoscopy can cause trauma to the airways, leading to bleeding. Signs of bleeding may include hemoptysis or a drop in hemoglobin levels.
Choice E rationale
Assessing the client’s puncture site is not applicable in this context, as bronchoscopy does not involve a puncture site. This option is incorrect.
Choice F rationale
Observing the client for manifestations of a pneumothorax is important because bronchoscopy can occasionally cause a pneumothorax, especially if a biopsy is performed. Signs of pneumothorax include sudden chest pain, dyspnea, and decreased breath sounds on the affected side.

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A nurse is caring for a female client in a clinic. Exhibits A nurse is planning to provide teaching to the client about the new prescription. For each teaching statement made by the nurse, click to specify if the teaching statement is indicated or contraindicated for the client.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has heart failure and is taking digoxin. Which of the following manifestations should the nurse report to the provider as an indication of digoxin toxicity?

Correct Answer is A

Explanation

A nurse is caring for a client following a bronchoscopy with moderate sedation. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["A","B","C","D","F"]

Explanation

A nurse is administering bumetanide to a client who has ascites. The nurse should recognize that which of the following findings is an expected therapeutic effect of this medication?

A nurse is caring for a client who has hypertension and nephropathy due to type 2 diabetes mellitus. The nurse should expect to administer which of the following medications to slow the progression of the nephropathy?

A nurse is talking with a client who has a new prescription for an ipratropium inhaler to treat exercise-induced bronchospasm. Which of the following client statements should the nurse report to the provider?

A nurse is providing teaching to a client who has angina and a new prescription for nitroglycerin tablets. Which of the following instructions should the nurse include in the teaching?

A nurse is performing an assessment on a client who has been taking verapamil as prescribed for two months. Which of the following findings should the nurse identify as adverse effects of this medication? (Select all that apply.)

A nurse is providing teaching to a client who has rheumatoid arthritis and is starting to take hydroxychloroquine. Which of the following client statements indicates an understanding of the teaching?

A nurse is caring for a client who has a new diagnosis of adrenal insufficiency. Which of the following prescriptions should the nurse anticipate from the provider?

A nurse is assessing a client who is taking beclomethasone. Which of the following findings is the priority to report to the provider?

A nurse is caring for a female client in a clinic.

Exhibits

A nurse is planning to provide teaching to the client about the new prescription. For each teaching statement made by the nurse, click to specify if the teaching statement is indicated or contraindicated for the client.