A patient who is taking NSAIDs to treat arthritis asks the nurse why Cytotec (misoprostol) has also been prescribed. Which explanation by the nurse is accurate?
"Cytotec helps to enhance the pain-relieving effects of the NSAIDs."
"Cytotec helps to protect the stomach lining from damage caused by NSAIDs."
"Cytotec helps to decrease inflammation in the joints."
"Cytotec helps to reduce the risk of developing blood clots from the NSAIDs."
The Correct Answer is B
A. Cytotec does not enhance the pain-relieving effects of NSAIDs. Instead, it works to protect the stomach lining from the harmful effects of NSAIDs, which can cause gastrointestinal ulcers and bleeding.
B. Misoprostol (Cytotec) is used to protect the stomach lining from damage caused by NSAIDs, which can increase the production of stomach acid and decrease the protective mucus lining. Cytotec helps prevent gastric ulcers and other GI complications associated with long-term NSAID use.
C. Cytotec does not directly decrease inflammation in the joints. NSAIDs are the primary medications for reducing joint inflammation in conditions like arthritis.
D. Cytotec does not reduce the risk of developing blood clots from NSAIDs. It is primarily used for its protective effect on the gastrointestinal system.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Parenteral nutrition (PN) should not be left out for extended periods. Generally, unused PN should be discarded after 24 hours, not 12 hours, to prevent contamination and bacterial growth.
B. The flow rate of PN should be monitored and adjusted carefully, but it should not be increased without orders. Rapid adjustments could cause complications such as fluid overload or electrolyte imbalances.
C. PN solution should be removed from the refrigerator 1 to 2 hours before use to allow it to come to room temperature, but 2 hours may be too long. It should be done cautiously to avoid bacterial growth at room temperature.
D. Monitoring daily laboratory values is essential for assessing the client's nutritional status, electrolytes, liver function, and kidney function. These values help guide ongoing care and detect complications of PN, such as electrolyte imbalances or liver dysfunction.
Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"A"}
Explanation
Rationale:
Hypoxia: The client's decreased oxygen saturation (SaO2) despite oxygen therapy and the presence of respiratory distress (tachypnea, shortness of breath) indicate hypoxia.
Pneumonia: The client's fever, increased respiratory rate, decreased oxygen saturation, and crackles in the lungs are indicative of pneumonia, particularly in the right lower lobe as evidenced by the chest X-ray.
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