A nurse is collecting data from a client who has a sodium level of 156 mEq/L. Which of the following findings should the nurse expect?

Nausea and vomiting

Altered mental status

Dysrhythmias

Hypothermia

Answer and Explanation

The Correct Answer is B

A. Nausea and vomiting: Nausea and vomiting can be present with hypernatremia (high sodium levels), but they are not the most prominent or specific symptom. The client may experience these symptoms, but they are usually accompanied by other signs.

B. Altered mental status: This is a common manifestation of hypernatremia. The elevated sodium level causes an osmotic imbalance, leading to water shifting out of cells, which results in neurological symptoms, including confusion, lethargy, or seizures.

C. Dysrhythmias: Dysrhythmias can occur with electrolyte imbalances, including hypernatremia, but the primary symptoms related to sodium levels are more often neurological in nature, such as confusion or altered mental status, rather than dysrhythmias specifically.

D. Hypothermia: Hypernatremia typically causes an increase in body temperature, not hypothermia. Elevated sodium levels cause dehydration, which could contribute to increased body temperature rather than cooling.

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Correct Answer is C

Explanation

A. Tinnitus is not typically associated with the ingestion of tyramine-rich foods while on tranylcypromine.

B. Hyperglycemia is not a common adverse effect related to tyramine interaction with tranylcypromine.

C. Hypertension is correct. Ingesting tyramine-rich foods (such as aged cheese, cured meats, and fermented foods) while taking tranylcypromine, a monoamine oxidase inhibitor (MAOI), can cause a hypertensive crisis. Tyramine is normally broken down by monoamine oxidase (MAO), and inhibiting this enzyme with tranylcypromine can lead to a dangerous increase in blood pressure.

D. Hematuria is not a known adverse effect of tranylcypromine or the ingestion of tyramine-rich foods.

A. Take the medication and then lay down for 30 min. B. Take the medication with an antacid. C. Take the medication with calcium-fortified orange juice. D. Take the medication with crackers.

Correct Answer is D

Explanation

A. "Take the medication and then lay down for 30 min.": This is not recommended. Lying down after taking doxycycline can increase the risk of esophageal irritation and ulceration. It is best to remain upright for at least 30 minutes after taking the medication.

B. "Take the medication with an antacid.": This is incorrect. Antacids can interfere with the absorption of doxycycline and reduce its effectiveness. It is important to avoid antacids, calcium supplements, and iron supplements within 2 hours of taking doxycycline.

C. "Take the medication with calcium-fortified orange juice.": This is incorrect. Calcium can bind with doxycycline, reducing its absorption and effectiveness. It is best to avoid taking doxycycline with calcium-rich products like milk or fortified juices.

D. "Take the medication with crackers.": This is correct. Taking doxycycline with a small amount of food, like crackers, can help reduce gastrointestinal discomfort, such as nausea and vomiting. It is recommended to take doxycycline with food if nausea occurs, though not with dairy or antacids.

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A nurse is collecting data from a client who has a sodium level of 156 mEq/L. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who is taking tranylcypromine and reports ingestion of tyramine-rich foods. The nurse should monitor the client for which of the following findings as an adverse effect of this medication?

Correct Answer is C

Explanation

A nurse is caring for a client who has a chlamydial infection and a new prescription for doxycycline. The client reports nausea and vomiting after starting the medication. Which of the following recommendations should the nurse make?

Correct Answer is D

Explanation

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