The client is receiving a trimethoprim-sulfamethoxazole. What information should the nurse include in the teaching about this medication?
Spend some time in the sun to improve drug metabolism
Increase fluid intake to 3 to 4 liters per 24 hours
Take the drug every morning, at the same time as hydrochlorothiazide
Take kaopectate daily to prevent diarrhea
The Correct Answer is B
A. Sun exposure is not related to drug metabolism, and excessive sun exposure can be harmful.
B. Increasing fluid intake can help prevent kidney damage, a potential side effect of trimethoprim- sulfamethoxazole.
C. While it's important to take medications consistently, there's no specific requirement to take trimethoprim-sulfamethoxazole at the same time as hydrochlorothiazide. The dosing schedule should be as prescribed by the healthcare provider.
D. Kaopectate can interfere with the absorption of certain medications and may not be effective in preventing diarrhea caused by trimethoprim-sulfamethoxazole.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.5"]
Explanation
Volume to administer (mL)=( Desired dose (mcg)/Available concentration (mcg/mL) 100 mcg is in 2 mL, so the concentration is:
100 mcg/2 Ml =50 mcg/mL
Volume to administer =25 mcg/ 50 mcg/mL=0.5mL
So, the nurse will administer 0.5 mL of fentanyl for the correct dose.
Correct Answer is B
Explanation
A. While claudication (muscle cramps with exercise) is common in earlier stages of PAD, it typically occurs in stage II. In stage III, pain often occurs at rest rather than with exertion.
B. In stage III PAD, patients often report rest pain, which can manifest as burning pain in the legs or feet, particularly at night when lying down. This is a hallmark symptom of advanced PAD due to inadequate blood flow.
C. While diminished pulses (like +1) can be found in PAD, this finding alone is not specific to stage III. In advanced stages, pulses may be even weaker or absent.
D. Blackened tissue (necrosis or gangrene) indicates a more severe stage (stage IV) of PAD, where there is critical limb ischemia and tissue death due to a lack of blood flow. Stage III may involve severe pain but usually does not have necrosis.
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