A nurse is obtaining a medication history from a client who reports taking 1 oz of magnesium hydroxide daily as a laxative. The nurse should identify that this dose equates to how many mL?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Choice A reason: This choice is correct because blood glucose is the priority assessment for a client with a prescription for glipizide who is confused, diaphoretic, and tachycardic. Glipizide is a medicine that lowers blood sugar levels in the body. It can cause side effects such as anxiety, diarrhea, nausea, and low blood sugar. Low blood sugar (hypoglycemia) can cause confusion, sweating, fast heart rate, dizziness, hunger, and seizures. The nurse should check the client's blood glucose level and treat hypoglycemia as soon as possible.

Choice B reason: This choice is incorrect because apical heart rate is not the priority assessment for a client with a prescription for glipizide who is confused, diaphoretic, and tachycardic. Apical heart rate is the number of heartbeats per minute that can be heard at the apex of the heart. It can be affected by many factors, such as age, activity, stress, and medication. Tachycardia is a condition where the heart beats faster than normal, which can be a sign of low blood sugar, dehydration, infection, or heart problems. The nurse should check the apical heart rate after assessing and treating the blood glucose level.

Choice C reason: This choice is incorrect because INR level is not the priority assessment for a client with a prescription for glipizide who is confused, diaphoretic, and tachycardic. INR stands for international normalized ratio, which is a measure of how long it takes the blood to clot. It is used to monitor the effect of anticoagulant drugs, such as warfarin, that prevent blood clots. Glipizide does not affect the INR level, and the client's symptoms are not related to bleeding or clotting. The nurse should check the INR level only if the client is taking anticoagulant drugs and has signs of bleeding or clotting.

Choice D reason: This choice is incorrect because the last bowel movement is not the priority assessment for a client with a prescription for glipizide who is confused, diaphoretic, and tachycardic. The last bowel movement is the time and nature of the client's most recent defecation. It can be affected by many factors, such as diet, fluid intake, activity, medication, and bowel habits. Glipizide can cause diarrhea or constipation, which can affect the frequency and consistency of the bowel movement. The nurse should check the last bowel movement after assessing and treating the blood glucose level.

Choice A reason: How to check apical heart rate is not a priority education for this client. Apical heart rate is the number of heartbeats per minute that can be heard at the apex of the heart. It can be used to monitor the effect of cardiac medications, such as atenolol or digoxin. This client is taking atenolol, but the nurse can check the client's radial pulse (at the wrist) instead of the apical pulse, unless there is a discrepancy or an irregular rhythm. The nurse should teach the client how to check their radial pulse and report any changes or symptoms.

Choice B reason: Signs and symptoms of hypothyroidism are not a priority education for this client. Hypothyroidism is a condition where the thyroid gland does not produce enough thyroid hormones, which regulate the metabolism and energy of the body. Hypothyroidism can cause symptoms such as fatigue, weight gain, cold intolerance, dry skin, hair loss, and depression. This client is not taking any medication that affects the thyroid function, and there is no evidence of hypothyroidism in the client's history or labs. The nurse should assess the client's thyroid function and teach the client about the signs and symptoms of thyroid disorders.

Choice C reason: Bleeding precautions are a priority education for this client. Bleeding precautions are measures to prevent or minimize bleeding in clients who are at risk of bleeding, such as those who are taking anticoagulants, have low platelets, or have bleeding disorders. This client is taking warfarin, an anticoagulant that increases the risk of bleeding.

Choice D reason: Increasing potassium rich foods in the diet is not a priority education for this client. Potassium is a mineral that helps regulate the fluid balance, nerve impulses, and muscle contractions in the body. Potassium levels can be affected by medications, such as diuretics, ACE inhibitors, or potassium supplements. This client is taking captopril, an ACE inhibitor that can increase the potassium level in the blood. The client's potassium level is normal (4.8 mmol/L), and there is no need to increase the intake of potassium rich foods, such as bananas, oranges, potatoes, tomatoes, or beans. The nurse should monitor the client's potassium level and teach the client about the signs and symptoms of high or low potassium, such as muscle weakness, cramps, irregular heartbeat, or numbness.