A nurse is preparing to administer lansoprazole 30 mg PO daily to a client. The amount available is lansoprazole 10 mg per tablet. How many tablets should the nurse administer per dose?

(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Choice A reason: Bright yellow

Bright yellow urine is typically a sign of normal hydration and is not expected after a transurethral prostatectomy. This color does not indicate the presence of blood or other substances that might be expected following surgery.

Choice B reason: Bright red

Bright red urine indicates significant bleeding, which is not typical after the initial postoperative period. While some blood in the urine is expected immediately after surgery, bright red urine should be reported to a healthcare provider as it may indicate a complication.

Choice C reason: Dark amber

Dark amber urine is usually a sign of dehydration or the presence of bilirubin. It is not typically associated with the expected postoperative changes following a transurethral prostatectomy. This color does not reflect the expected mild bleeding that can occur after the procedure.

Choice D reason: Pale pink

Pale pink urine is expected following a transurethral prostatectomy due to the presence of small amounts of blood in the urine. This is a normal finding as the surgical site heals. The pale pink color indicates mild bleeding, which is common and usually resolves as the healing process continues.

Choice A reason:

Tremors are not typically associated with Cushing’s syndrome. Cushing’s syndrome is characterized by an excess of cortisol, which leads to various symptoms, but tremors are not commonly among them. Tremors are more often associated with conditions affecting the nervous system, such as Parkinson’s disease or essential tremor.

Choice B reason:

A buffalo hump, which is a fat deposit on the back of the neck and upper back, is a common manifestation of Cushing’s syndrome. This occurs due to the redistribution of fat caused by prolonged exposure to high levels of cortisol. The buffalo hump is a distinctive physical sign that helps in diagnosing Cushing’s syndrome.

Choice C reason:

Moon face, characterized by a rounded, puffy face, is another hallmark of Cushing’s syndrome. This symptom results from fat deposits accumulating in the facial area due to elevated cortisol levels. The moon face is often one of the first noticeable signs of Cushing’s syndrome.

Choice D reason:

Hypertension, or high blood pressure, is a common symptom of Cushing’s syndrome. Cortisol increases blood pressure by enhancing the sensitivity of blood vessels to catecholamines and by promoting sodium and water retention. This leads to an increase in blood volume and, consequently, higher blood pressure.

Choice E reason:

Purple striae, or stretch marks, are also indicative of Cushing’s syndrome. These marks typically appear on the abdomen, thighs, breasts, and arms and are caused by the thinning of the skin and weakening of connective tissue due to excessive cortisol. The striae are often wide and have a purplish hue, distinguishing them from regular stretch marks.