A nurse is reinforcing teaching for a client who has rheumatoid arthritis and a new prescription for aspirin 650 mg orally every 6 hr. The nurse should instruct the client to monitor for which of the following adverse effects of aspirin therapy?

Insomnia

Constipation

Blurred vision

Bleeding

Answer and Explanation

The Correct Answer is D

A. Insomnia is not typically associated with aspirin therapy.
B. Constipation is not a common adverse effect of aspirin.
C. Blurred vision is not a common adverse effect of aspirin.
D. Aspirin is an antiplatelet medication and can increase the risk of bleeding, so monitoring for signs of bleeding (e.g., easy bruising, nosebleeds) is crucial.

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Correct Answer is C

Explanation

A. Metformin does not affect vitamin K levels, so there is no need to increase vitamin K intake with this drug.
B. Shaving precautions are not related to metformin therapy.
C. Metformin can interact with iodine contrast used in imaging procedures, potentially increasing the risk of lactic acidosis, so it's important for the client to inform healthcare providers about their metformin use before such procedures.
D. Checking the pulse for a full minute before taking medication is not necessary for metformin administration.

A. Flush the tube with water. B. Measure stomach contents. C. Elevate the head of the bed. D. Return gastric content into the gastrostomy tube.

Correct Answer is B

Explanation

A. Flushing the tube with water is necessary after checking residual stomach contents to clear the tube, but measuring stomach contents comes first to ensure the tube is clear for proper medication administration.
B. Measuring stomach contents is crucial before administering enteral medication to confirm the tube's placement and ensure medication reaches the stomach appropriately, preventing complications such as aspiration.
C. Elevating the head of the bed is important during and after enteral feeding to prevent aspiration, but it is not the first action before medication administration.
D. Returning gastric content into the gastrostomy tube may be necessary after assessing and managing residual stomach contents, but it is not the initial step in medication administration.

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A nurse is reinforcing teaching for a client who has rheumatoid arthritis and a new prescription for aspirin 650 mg orally every 6 hr. The nurse should instruct the client to monitor for which of the following adverse effects of aspirin therapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client taking metformin. He is going over teaching. Which of the following statements by the client shows that they have an understanding of the drug?

Correct Answer is C

Explanation

A nurse is preparing to administer enteral medication to a client who has a gastrostomy tube. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

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A nurse is reinforcing teaching for a client who has rheumatoid arthritis and a new prescription for aspirin 650 mg orally every 6 hr. The nurse should instruct the client to monitor for which of the following adverse effects of aspirin therapy?