A nurse is providing discharge teaching to a client who has angina and a prescription for aspirin. Which of the following client statements indicates to the nurse an understanding of the teaching?

"I should expect drowsiness while taking this medication."

"I need to avoid consuming green, leafy vegetables while taking this medication."

"I will take the aspirin daily on an empty stomach."

"I should notify my provider if I develop ringing in my ears."

Answer and Explanation

The Correct Answer is D

A. "I should expect drowsiness while taking this medication.": Aspirin does not typically cause drowsiness. Clients should be informed about other possible side effects, but fatigue is not a primary concern.

B. "I need to avoid consuming green, leafy vegetables while taking this medication.": Unlike warfarin, aspirin’s anticoagulant effect is not significantly influenced by dietary vitamin K intake. There is no need to avoid green, leafy vegetables while taking aspirin.

C. "I will take the aspirin daily on an empty stomach.": Taking aspirin on an empty stomach can increase the risk of gastrointestinal irritation and ulcers. It is generally recommended to take it with food or water to reduce stomach upset.

D. "I should notify my provider if I develop ringing in my ears.": Tinnitus can be an early sign of aspirin toxicity, especially with long-term use or higher doses. Notifying the healthcare provider if this occurs indicates proper understanding of the potential adverse effects.

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Correct Answer is C

Explanation

A. "I have vomited several times.": Vomiting can be a side effect of penicillin, but it is usually manageable and not immediately life-threatening unless severe dehydration occurs.

B. "I am having diarrhea.": Mild diarrhea is a common side effect of antibiotics. It is important to monitor for signs of C. difficile infection, but occasional loose stools are not immediately critical.

C. "I am having trouble swallowing.": Difficulty swallowing may indicate oropharyngeal edema, which can be a sign of a severe allergic reaction to penicillin. This requires immediate attention as it can progress to airway obstruction.

D. "My skin feels itchy all over.": Generalized itching may indicate a mild allergic reaction. While it should be monitored, it is less urgent than symptoms suggesting airway compromise.

A. "I will limit my alcohol intake to two drinks per day." B. "I should avoid eating foods that contain vitamin C." C. "I should rinse my mouth with a warm salt solution." D. "I will continue to floss my teeth after each meal."

Correct Answer is C

Explanation

A. "I will limit my alcohol intake to two drinks per day.": Alcohol increases the risk of hepatotoxicity when combined with methotrexate. Clients should avoid alcohol completely rather than limiting intake.

B. "I should avoid eating foods that contain vitamin C.": Vitamin C does not worsen stomatitis or interact adversely with methotrexate. There is no need to avoid it in the diet.

C. "I should rinse my mouth with a warm salt solution.": Salt water rinses help soothe oral irritation, reduce bacterial growth, and promote healing of stomatitis, making this the appropriate action.

D. "I will continue to floss my teeth after each meal.": Flossing may irritate the oral mucosa further and worsen stomatitis, so clients should avoid it until the mucosa has healed.

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A nurse is providing discharge teaching to a client who has angina and a prescription for aspirin. Which of the following client statements indicates to the nurse an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has an infection and has been taking penicillin. Which of the following statements by the client should the nurse identify as the priority to report to the provider?

Correct Answer is C

Explanation

A nurse is teaching a client who is taking methotrexate and has stomatitis. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is reviewing the medical history of a client prior to medication administration and notes a history of an anaphylactic reaction to penicillin. The nurse should identify that which of the following medications is contraindicated for this client?

A nurse is providing teaching to a client who has a new prescription for warfarin about potential interactions with over-the-counter products. Which of the following products should the nurse instruct the client to avoid?

A nurse is teaching a client who is being treated for depression with escitalopram. Which of the following statements by the client should the nurse identify as an adverse effect?

A nurse is mixing NPH insulin and regular insulin prior to administration. Which of the following actions should the nurse take first?

A nurse is caring for a client who has a prescription for nifedipine. Which of the following findings should the nurse assess prior to administration of the medication?

A nurse is evaluating a client's response after initiating an intermittent IV bolus of vancomycin. Which of the following findings indicates the client is experiencing an allergic reaction to the medication?

A nurse is caring for a client who has opioid use disorder and is experiencing withdrawal. Which of the following manifestations should the nurse expect?

A nurse is assessing a client who is taking gentamicin. For which of the following findings should the nurse withhold the medication?