A nurse is instructing a patient who has just been prescribed bumetanide. What should the nurse include in the instructions?

Take the prescribed second dose at nighttime.

Limit your fluid intake to no more than 1.5 L a day.

Report any changes in hearing.

Avoid foods high in potassium.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Bumetanide is a diuretic, which means it helps your body get rid of extra water. This can make you urinate more often. Taking the second dose at night could disrupt your sleep.

Choice B rationale

While it’s important to monitor fluid intake when taking a diuretic, there’s no specific requirement to limit fluid intake to 1.5 liters a day. Fluid needs can vary based on individual circumstances.

Choice C rationale

Bumetanide can sometimes cause hearing changes or loss, which is usually reversible once the medication is stopped. Therefore, patients should report any changes in hearing to their healthcare provider.

Choice D rationale

Bumetanide can cause the body to lose potassium, which is an important nutrient for heart function. Therefore, it’s usually recommended to consume foods high in potassium, not avoid them.

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Correct Answer is A

Explanation

Choice A rationale

Celecoxib, like other NSAIDs, can increase the risk of serious gastrointestinal (GI) adverse events including bleeding, ulceration, and perforation of the stomach or intestines, which can be fatal. These events can occur at any time during use and without warning symptoms. Black, tarry stools can be a sign of GI bleeding.

Choice B rationale

Dry mouth is not typically associated with celecoxib use.

Choice C rationale

Polyuria, or excessive urination, is not typically associated with celecoxib use.

Choice D rationale

Bone pain is not typically a side effect of celecoxib. Celecoxib is used to relieve pain from various conditions, including osteoarthritis.

A. A patient’s address would be an example of personally identifiable information. B. HIPAA is a federal law, not a state law. C. HIPAA established regulations of individually identifiable health information in verbal, electronic, or written form. D. Information about a client can be disclosed to family members at any time.

Correct Answer is D

Explanation

Choice A rationale

A patient’s address is indeed an example of personally identifiable information. This statement is correct and does not indicate a need for further teaching.

Choice B rationale

HIPAA is indeed a federal law, not a state law. This statement is correct and does not indicate a need for further teaching.

Choice C rationale

HIPAA did establish regulations of individually identifiable health information in verbal, electronic, or written form. This statement is correct and does not indicate a need for further teaching.

Choice D rationale

Information about a client cannot be disclosed to family members at any time without the client’s consent. This statement indicates a need for further teaching.

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A nurse is instructing a patient who has just been prescribed bumetanide. What should the nurse include in the instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is starting celecoxib to treat osteoarthritis.What adverse effects should the nurse instruct the patient to monitor and report?

Correct Answer is A

Explanation

A nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching?

Correct Answer is D

Explanation

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