Prior to administration of the initial dose of the gastrointestinal (GI) agent misoprostol, which information should the nurse obtain from the patient?
Taking an antiemetic medication.
Allergy to aspirin.
Currently pregnant.
History of glaucoma.
The Correct Answer is C
A. Taking an antiemetic medication: This information is not directly relevant before administering misoprostol. Misoprostol does not typically interact with antiemetic medications in a way that would change the administration plan.
B. Allergy to aspirin: While important to know for general medication safety, misoprostol's primary concern is its potential effects on pregnancy rather than an allergy to aspirin.
C. Currently pregnant: Misoprostol is contraindicated in pregnancy due to its potential to induce uterine contractions and cause miscarriage. It is crucial to confirm that the patient is not pregnant before administering this medication.
D. History of glaucoma: While important for other medications, a history of glaucoma is not a primary concern when administering misoprostol.
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Related Questions
Correct Answer is C
Explanation
A. Administer the medication: Acarbose is an alpha-glucosidase inhibitor that should be taken with the first bite of a meal to effectively manage postprandial blood glucose levels. Administering it before the meal is inappropriate as it can lead to inadequate glucose control.
B. Notify the healthcare provider: While notifying the healthcare provider might be necessary if there are significant issues, it is not the immediate action needed in this situation. The priority is to manage the timing of the medication relative to the meal.
C. Hold the medication until the meal trays arrive: Acarbose should be taken with food to work effectively in controlling blood glucose levels after meals. If the meal is delayed, the medication should be held until the meal is ready to ensure proper administration.
D. Obtain another finger stick blood glucose level: Rechecking the blood glucose level does not address the issue of the timing of the acarbose administration. The focus should be on ensuring the medication is taken with the meal.
Correct Answer is D
Explanation
A) Hypertension: Phenytoin is primarily used to manage seizures, and hypertension is not a common side effect associated with its use. While monitoring blood pressure is important for overall health, it is not specifically indicated for detecting common side effects of phenytoin.
B) Peripheral edema: Peripheral edema is not a typical side effect of phenytoin. Common side effects are usually related to oral health and skin changes rather than fluid retention or swelling in the extremities.
C) Hematuria: Hematuria, or blood in the urine, is not commonly associated with phenytoin use. This side effect is more relevant to other medications or conditions, and while monitoring for overall health changes is important, it is not a primary concern with phenytoin.
D) Gingival hyperplasia: Phenytoin is well-known for causing gingival hyperplasia, which is the overgrowth of gum tissue. This is a common and notable side effect of long-term phenytoin use, making it important for the nurse to assess for this symptom in clients receiving the medication.
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