A nurse is caring for a female client in a providers office Provider Prescriptions

2 Days Later:

Ferrous Sulfate 325 mg PO every other day.

The nurse notifies the client and provides teaching about the newly prescribed medication. For each of the statements made by the client. click to specify whether the statement indicates an understanding or no understanding of the teaching provided.

I should take this medication with orange juice.

"If I experience black stools. I should notify my provider.”

“I should avoid taking antacids

“I should rinse my mouth after taking this medication”

“I should take my medication on an empty stomach."

Answer and Explanation

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

Taking the medication with orange juice (a) is advisable as vitamin C can enhance iron absorption

Notifying the provider about black stools is appropriate because it can indicate gastrointestinal bleeding, a potential side effect of ferrous sulfate.

Avoiding antacids while on ferrous sulfate is important because they can decrease the absorption of iron, so this statement demonstrates understanding.

Rinsing the mouth after taking ferrous sulfate can help prevent staining of the teeth, indicating understanding.

Taking the medication on an empty stomach enhances its absorption, so not understanding this instruction suggests a lack of comprehension.

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Correct Answer is C

Explanation

A. Peripheral edema: Peripheral edema is not a commonly reported adverse effect of paroxetine.

It is more commonly associated with medications such as calcium channel blockers and certain antihypertensive agents.
B. Alopecia: Alopecia, or hair loss, is not a commonly reported adverse effect of paroxetine. Hair loss is more commonly associated with certain chemotherapy agents and other medications.
C. Drowsiness: Drowsiness is a common side effect of paroxetine and other selective serotonin reuptake inhibitors (SSRIs). Clients should be advised to monitor for drowsiness, especially when starting the medication or adjusting the dosage. Drowsiness can affect activities such as driving or operating machinery and may indicate the need for dosage adjustment or medication change.
D. Tinnitus: Tinnitus, or ringing in the ears, is not a commonly reported adverse effect of paroxetine. It is more commonly associated with medications such as certain antibiotics (e.g., aminoglycosides) and high-dose aspirin.

A. Nitroglycerin B. Albuterol C. Furosemide D. Indomethacin

Correct Answer is A

Explanation

A. Nitroglycerin is a contraindication for sildenafil because both medications can cause a significant drop in blood pressure when taken together, leading to hypotension and potentially life-threatening complications.
B. Albuterol, a bronchodilator, is not a contraindication for sildenafil.

C. Furosemide, a diuretic, is not a contraindication for sildenafil.

D. Indomethacin, a nonsteroidal anti-inflammatory drug (NSAID), is not a contraindication for sildenafil.

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Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has a new prescription for paroxetine. The nurse should instruct the client to monitor for which of the following adverse effects?

Correct Answer is C

Explanation

A nurse is reviewing the medication list of a client who has erectile dysfunction and is requesting a prescription for sildenafil. The nurse should identify that which of the following medications is a contraindication for receiving this medication?

Correct Answer is A

Explanation

A nurse is interviewing a client who was newly admitted prior to administering medications. The client tells the nurse. "I forgot to tell the doctor! take albuterol for asthma." For which of the following medications should the nurse withhold the dose and notify the provider?

A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to a client who has diabetes mellitus. Which of the following actions should the nurse take first?

A nurse is caring for a client who has major depression and a new prescription for citalopram. Which of the following adverse effects is the priority for the nurse to report to the provider?

A nurse is preparing to administer a medication to a client when they discover that the wrong medication was dispensed by the pharmacy. Which of the following actions should the nurse take?

A nurse in a clinic is assessing a 60-year-old client at an annual examination. The client asks the nurse about receiving a shingles vaccination. The nurse should identify that which of the following medications prescribed to the client is a contraindication for receiving this vaccine?

A nurse is caring for a client who has major burns and is experiencing dehydration. The nurse should anticipate a prescription to infuse which of the following solutions?

A nurse is teaching a client who has pernicious anemia to self-administer nasal cyanocobalamin. Which of the following information should the nurse include in the teaching?

A nurse is assessing a client who has a transdermal fentanyl patch in place. Which of the following findings should the nurse document as an adverse effect of this medication?