A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. Which of the following statements by the client indicates an understanding of the teaching?

If I get a fever while taking this medication, I will take some aspirin.

I need to increase my ﬂuid intake while taking this medication.

I should take this medicine on an empty stomach.

If I get a rash from this medication, I will take my usual antihistamine.

Answer and Explanation

The Correct Answer is B

Allopurinol is a medication used to decrease levels of uric acid in people with gout, or kidney stones, or who are receiving certain types of chemotherapy1. Increasing ﬂuid intake while taking this medication can help prevent the formation of kidney stones.

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Correct Answer is D

Explanation

BUN stands for Blood Urea Nitrogen, and it is a laboratory test that measures the amount of nitrogen in the blood that comes from urea, which is a waste product of protein metabolism. Elevated BUN levels indicate impaired kidney function. Amphotericin B is known to be potentially nephrotoxic, which means that it can cause damage to the kidneys. Therefore, the nurse should report an elevated BUN level to the provider before initiating the medication to ensure the safety of the client. Potassium, glucose, and sodium levels are within normal range and do not require intervention in this scenario.

A. Store the medication at room temperature B. Avoid shaking the medication before administration C. Check the client for a penicillin allergy D. Monitor the client for constipation

Correct Answer is C

Explanation

A.Cephalexin oral suspension should typically be stored in the refrigerator to maintain its stability and effectiveness. Storing it at room temperature could affect its potency.

B.Shaking the oral suspension is necessary to ensure the medication is evenly distributed before each dose, providing the client with the correct dosage of active ingredients. Failure to shake the suspension can result in uneven dosing.

C.Cephalexin is a cephalosporin antibiotic, and there is a potential for cross-sensitivity in clients who are allergic to penicillin. Up to 10% of people with a penicillin allergy may also be allergic to cephalosporins. Checking for a penicillin allergy helps prevent an adverse reaction, making it a critical safety measure before administering cephalexin.

D.While some antibiotics can cause gastrointestinal side effects, constipation is not a common adverse effect associated with cephalexin. The nurse should instead monitor for other side effects like diarrhea, which is more typical with antibiotics and can indicate a mild side effect or a more severe condition, such as Clostridioides difficile infection.

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A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a fungal infection and is given a new prescription for amphotericin B. Which of the following laboratory values should the nurse report to the provider before initiating the medication?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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