A nurse is consulting a formulary about a client's new prescription for raloxifene. The nurse should identify that this medication is used to treat which of the following conditions?

Osteoporosis

Urinary tract infection

Hypothyroidism

Deep-vein thrombosis

Answer and Explanation

The Correct Answer is A

A. Osteoporosis. A nurse is consulting a formulary about a client's new prescription for raloxifene. The medication raloxifene is used to treat osteoporosis. It is a selective estrogen receptor modulator (SERM) that helps to prevent and treat bone loss in postmenopausal women. It works by mimicking the effects of estrogen on bone tissue, helping to prevent bone breakdown and maintain bone density.
B. Urinary tract infection: UTIs are typically treated with antibiotics.
C. Hypothyroidism: Hypothyroidism is treated with thyroid hormone replacement.
D. Deep-vein thrombosis: DVT is typically treated with anticoagulant medications like heparin and warfarin.

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Correct Answer is D

Explanation

A. "Decrease your daily sodium intake."
Incorrect Explanation: This instruction is appropriate for a client taking lithium carbonate.
Explanation: Lithium is a mood-stabilizing medication commonly prescribed for conditions like bipolar disorder. High levels of sodium can lead to increased lithium retention in the body, potentially raising the risk of toxicity. Advising the client to decrease their daily sodium intake helps prevent this.
B. "Take this medication 2 hours before a meal."
Incorrect Explanation: This instruction is not accurate for lithium carbonate.
Explanation: Lithium carbonate is typically taken with food or milk to help minimize stomach upset. Taking it on an empty stomach might increase the risk of gastrointestinal side effects.
C. "Limit foods containing tyramine."
Incorrect Explanation: This instruction is not directly relevant to lithium carbonate.
Explanation: Tyramine is a compound found in some foods and can interact with certain medications like monoamine oxidase inhibitors (MAOIs), but it is not a primary concern with lithium carbonate.
D. "Report swelling of the feet to your provider."
Correct Explanation: This instruction is appropriate for a client taking lithium carbonate.
Explanation: Lithium can lead to water retention, which might result in swelling, particularly in the feet and ankles. Reporting swelling is important as it can be an early sign of potential side effects or changes in kidney function.

A. The client's absolute neutrophil count was 2.500/mm³ before the medication was administered. B. The nurse flushed the client's IV line with dextrose 5% in water before and after the medication was administered. C. The client had chemotherapy 12 hr before the medication was administered. D. The medication vial sat at room temperature for 2 hr before it was administered

Correct Answer is D

Explanation

A. The client's absolute neutrophil count was 2.500/mm³ before the medication was administered:
Incorrect Explanation: This is a normal data point that does not suggest an adverse event or error.
Explanation: An absolute neutrophil count of 2.500/mm³ is within the normal range, and there is no indication of a problem related to the administration of filgrastim based on this information.
B. The nurse flushed the client's IV line with dextrose 5% in water before and after the medication was administered:
Incorrect Explanation: Routine flushing of the IV line with appropriate solutions is a standard practice and not indicative of an incident.
Explanation: Flushing the IV line with dextrose 5% in water before and after medication administration is a routine procedure to maintain line patency and prevent interactions between medications.
C. The client had chemotherapy 12 hours before the medication was administered:
Incorrect Explanation: The timing of chemotherapy does not necessarily indicate an incident.
Explanation: Knowing the timing of chemotherapy is important for overall patient care, but it doesn't necessarily indicate an incident or error related to the administration of filgrastim.
D. The medication vial sat at room temperature for 2 hours before it was administered:
Correct Answer: This is the data point that should lead to filing an incident report.
Explanation: Many medications, including filgrastim, have specific storage requirements to ensure their effectiveness and safety. Allowing a medication vial to sit at room temperature for an extended period can compromise its stability and effectiveness. This situation should be reported as it involves a potential deviation from proper medication storage and handling procedures.

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A nurse is consulting a formulary about a client's new prescription for raloxifene. The nurse should identify that this medication is used to treat which of the following conditions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has a new prescription for lithium carbonate. Which of the following instructions should the nurse include?

Correct Answer is D

Explanation

A nurse recently administered filgrastim intravenously to a client who has cancer and is receiving cytotoxic chemotherapy. For which of the following data, discovered after the medication was administered, should the nurse file an incident report?

Correct Answer is D

Explanation

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