The nurse administers teriparatide and evaluates the drug as effective in achieving desired effects when what is assessed?

Decrease in serum calcium and increase in serum phosphorous.

Increase in serum calcium and decrease in serum phosphorous.

Increase in serum calcium and phosphorous.

Decrease in serum calcium and phosphorous.

Answer and Explanation

The Correct Answer is B

This is because teriparatide affects calcium and phosphorus metabolism in a pattern consistent with the known actions of endogenous PTH (eg, increases serum calcium and decreases serum phosphorus)12.

Choice A is wrong because teriparatide does not decrease serum calcium, but increases it.

Choice C is wrong because teriparatide does not increase serum phosphorus, but decreases it.

Choice D is wrong because teriparatide does not decrease serum calcium, but increases it.

Normal ranges for serum calcium are 8.5 to 10.2 mg/dL and for serum phosphorus are 2.5 to 4.5 mg/dL.

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Correct Answer is B

Explanation

The client should avoid taking aspirin while taking corticosteroids because of the potential drug-drug interaction between them. This interaction may cause a reduction in the blood levels of aspirin and decrease its effectiveness. It may also increase the risk of gastrointestinal side effects such as inflammation, bleeding, ulceration, and perforation.

Choice A is wrong because dimenhydrinate is an antihistamine that is used to prevent and treat nausea, vomiting, and dizziness.

It does not have a significant interaction with corticosteroids.

Choice C is wrong because ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that is used to relieve pain, inflammation, and fever.

It has a similar interaction with corticosteroids as aspirin, but it is less potent and less likely to cause bleeding.

Choice D is wrong because famotidine is a histamine-2 receptor antagonist that is used to treat and prevent ulcers, gastroesophageal reflux disease (GERD), and other conditions that cause excess stomach acid.

It does not have a significant interaction with corticosteroids.

A. The need to monitor for systemic side effects. B. The need to use the dry form of Metamucil to prevent cramping. C. The importance of consuming adequate amounts of water. D. The onset of action of 30 to 60 minutes after administration.

Correct Answer is C

Explanation

Metamucil Psyllium Fiber Supplement Sugar-Free Orange Smooth Powder - Shop Medicines & Treatments at H-E-B

The correct answer is c. The importance of consuming adequate amounts of water.

Rationale for Choice A:

Statement:The need to monitor for systemic side effects.
Rationale:It's not accurate to prioritize monitoring for systemic side effects when teaching a patient about psyllium (Metamucil).Psyllium is a bulk-forming laxative that primarily acts within the gastrointestinal tract,and systemic side effects are rare.While it's essential to be aware of potential side effects,focusing on them during initial teaching might cause unnecessary anxiety.

Rationale for Choice B:

Statement:The need to use the dry form of Metamucil to prevent cramping.
Rationale:This statement is incorrect.It's generally recommended to mix psyllium with water or another liquid before ingestion.Consuming the dry form can increase the risk of choking and might not adequately hydrate stool.

Rationale for Choice C:

Statement:The importance of consuming adequate amounts of water.
Rationale:This is the most crucial information to emphasize when teaching about psyllium.Psyllium works by absorbing water and forming a bulky gel that softens stool and promotes bowel movements.Without sufficient water intake,psyllium can cause constipation to worsen or lead to intestinal obstruction.

Rationale for Choice D:

Statement:The onset of action of 30 to 60 minutes after administration.
Rationale:This statement is inaccurate.Psyllium is not a fast-acting laxative.It typically takes 12-72 hours to produce a bowel movement.Informing patients about the expected time frame for results is essential to manage expectations and prevent unnecessary medication overuse.

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The nurse administers teriparatide and evaluates the drug as effective in achieving desired effects when what is assessed?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing client education to a client who has had corticosteroids prescribed. What drug should the nurse teach the client to avoid while taking the corticosteroids?

Correct Answer is B

Explanation

The nurse is instructing a patient who will take psyllium (Metamucil) to treat constipation. What information will the nurse include when teaching this patient?

Correct Answer is C

Explanation

The nurse admits to the clinic a 7-month-old infant whose parents report that the baby has not had a bowel movement in 4 days. What is the nurse’s best action?

A client with type 1 diabetes presents to the diabetes educator and asks about a change in insulin. The client’s occupation requires long international flights, and the client does not want to administer insulin on the plane. What kind of insulin would best meet this client’s needs?

The client, newly diagnosed with diabetic retinopathy, asks what caused this disorder. What is the nurse’s best response?

When providing health education to a client taking octreotide, the nurse should warn the client about the possibility of what potential adverse effect?

What is an appropriate nursing action for a hospitalized client receiving aprepitant?

With what client should the nurse question the administration of human insulin?

The nurse teaches the client to best promote optimal GI function by including what in the daily routine?

A client has an important presentation to make in 4 hours, and he needs relief from the congestion of seasonal rhinitis. The client calls the nurse, explains the situation, and tells the nurse that he cannot afford to be drowsy. What medication is most likely to meet this client’s needs?