The nurse is educating an adult client who has been diagnosed with adrenocortical carcinoma about the prescribed mitotane 6 g P0 in divided doses. Which statement made by the client establishes the need for further clarification? a. "If I have a trauma or go into shock, the drug is temporarily stopped."

"I should not drink alcoholic beverages while taking the drug.'

"The drug will eradicate my tumor and cure my cancer.’

"I should not drive or operate machinery while taking the drug.

Answer and Explanation

The Correct Answer is C

The drug will eradicate my tumor and cure my cancer" establishes the need for further clarification. While mitotane is used to treat adrenocortical carcinoma, it is not considered a curative treatment. The other statements made by the client demonstrate a correct understanding of the medication and its administration.

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Correct Answer is D

Explanation

A. Weekly – This frequency is too frequent for dosage adjustments of levothyroxine. Adjustments are generally made less frequently to allow for the medication to reach therapeutic levels.

B. Monthly – While some adjustments may be made on a monthly basis, this is not the typical recommendation.

C. Every 3 to 5 days – This is also too frequent for dosage adjustments as it may not allow enough time to assess the effects of the current dose.

D. Every 4 to 6 weeks – This is the correct recommendation for adjusting levothyroxine dosages. After starting therapy or adjusting the dose, it is advised to wait 4 to 6 weeks before evaluating thyroid function tests and making any further adjustments to the dosage, as it takes time for the medication to take effect.

A. An increase in serum lactate B. A decrease in hemoglobin and hematocrit C. An increase in white blood cells D. A decrease in potassium accompanied by an increase in sodium

Correct Answer is A

Explanation

A. An increase in serum lactate – This is a critical laboratory value that can indicate lactic acidosis, a serious side effect associated with metformin, especially in older adults or those with renal impairment. An increase in serum lactate necessitates discontinuation of the medication.

B. A decrease in hemoglobin and hematocrit – While this change may indicate anemia, it is not directly associated with the need to discontinue metformin. Further evaluation of the cause of anemia would be necessary.

C. An increase in white blood cells – This could indicate an infection or inflammatory process but does not specifically necessitate the discontinuation of metformin.

D. A decrease in potassium accompanied by an increase in sodium – While electrolyte imbalances should be monitored, this change does not directly indicate that metformin should be discontinued.

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Naxlex Comprehensive Predictor Exams

A client is started on levothyroxine for the treatment of hypothyroidism. During client teaching, the nurse indicates that the dosage may be increased how often until symptoms are relieved?

Correct Answer is D

Explanation

An older adult client has been prescribed metformin for the treatment of type 2 diabetes for several years. Which change in the client's laboratory values may demonstrate a need to discontinue the medication?

Correct Answer is A

Explanation

In light of current treatment modalities, the nurse should anticipate that the client newly diagnosed with schizophrenia will most likely be prescribed what drug?

A client will be using an insulin pump to deliver a consistent amount of insulin to meet the client's needs. Where should the nurse insert the pump for the maximum amount of absorption?

A female client is preparing to begin treatment for infertility. What hormone would the nurse expect to be included in treatment?

A client is diagnosed with overdose of diazepam. What drug does the nurse anticipate being administered?

A client who regularly takes metformin has developed a severe infection. How will the infection change the established diabetic regimen?

A client is being prescribed a central nervous system stimulant. Which will haw lowest risk of abuse and dependence?

A client with a history of heroin use has begun addiction treatment. The nurse had administered the client's daily dose of methadone. How does methadone therapy affect opioid addiction?