The nurse is reconciling medications for a new client.

Given the current medications listed below, which assessment finding should the nurse be most concerned about? Current Home Medications: metoprolol 25 mg PO daily metformin 500 mg PO BID isoniazid 600 mg IM two times per week rifampin 600 mg PO Daily streptomycin 1 gram IM two times per week acetaminophen 1000 mg PO Q6 hours as needed for pain or fever

Fasting blood sugar level of 130 mg/dL.

Yellow discoloration of the sclera.

Positive result on the tuberculin skin test.

Blood pressure reading of 100/70 mmHg.

Answer and Explanation

The Correct Answer is B

Choice A rationale
While a fasting blood sugar level of 130 mg/dL is slightly elevated, it is not the most concerning finding given the current medications. Metformin is a medication used to control blood sugar levels in patients with diabetes, so this patient’s blood sugar is being managed.
Choice B rationale
Yellow discoloration of the sclera is a sign of jaundice, which can indicate liver damage. Given that this patient is taking several medications that can potentially cause liver damage (including isoniazid and acetaminophen), this finding is most concerning.
Choice C rationale
A positive result on the tuberculin skin test indicates exposure to tuberculosis, but it does not necessarily mean the patient has active tuberculosis. The patient is currently taking medications for tuberculosis (isoniazid and rifampin), indicating that this condition is being managed.
Choice D rationale
A blood pressure reading of 100/70 mmHg is within the normal range, so this would not be the most concerning finding. The patient’s metoprolol medication is used to manage blood pressure, indicating that this aspect of the patient’s health is being managed. Prednisone Prednisone Explore

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Choice A rationale
Metformin is an oral antidiabetic medication that is typically withheld on the morning of surgery due to the risk of lactic acidosis, especially if the surgery involves the use of contrast dye.
Choice B rationale
Metoprolol is a beta-blocker used to treat hypertension and other heart conditions. It is typically continued up to and including the day of surgery to maintain heart rate and blood pressure control.
Choice C rationale
Prednisone is a corticosteroid medication. If a patient is on long-term corticosteroid therapy, it is typically continued on the day of surgery to prevent adrenal insufficiency.
Choice D rationale
Levothyroxine is a thyroid hormone replacement medication. It is typically continued on the day of surgery to maintain thyroid hormone levels.

A. Use aromatherapy sprays B. Take a brisk walk outside C. Avoid well-seasoned foods D. Drink a warm glass of milk

Correct Answer is C

Explanation

Choice A rationale
While aromatherapy sprays can provide a calming environment, there is limited evidence to suggest that they can effectively reduce chemotherapy-induced nausea and vomiting.
Choice B rationale
Physical activity like a brisk walk outside can be beneficial for overall health, but it may not directly help in reducing nausea and vomiting caused by chemotherapy.
Choice C rationale
Avoiding well-seasoned, spicy, and fatty foods can help reduce nausea and vomiting during chemotherapy. These types of foods can irritate the stomach and make nausea worse.
Choice D rationale
Drinking a warm glass of milk may not be helpful in reducing chemotherapy-induced nausea and vomiting. In fact, dairy products can sometimes exacerbate nausea.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is scheduled for surgery this morning and the nurse is administering the morning medications. Which scheduled morning medication should the nurse withhold and not administer on the morning of surgery?

Correct Answer is A

Explanation

A patient is currently receiving chemotherapy and is experiencing nausea and vomiting. What should the nurse teach the patient to help reduce the nausea and vomiting?

Correct Answer is C

Explanation

A patient with diabetes who is on oral hypoglycemic medication has been prescribed levofloxacin. What should the nurse include in the patient’s education?

A client is prescribed milk of magnesia. After reviewing the client’s lab results, which potential electrolyte imbalance is the nurse concerned about?

The nurse is teaching a patient who will be taking a proton pump inhibitor as long-term therapy about potential side effects. Which statement should the nurse include in the education to the patient?

A client who has recently been prescribed Sucralfate makes which statement that indicates they need more education about their medication?

The nurse is administering a vancomycin infusion. What measure should the nurse implement to reduce complications that may occur with this drug’s administration?

A patient has been newly prescribed gentamicin 120mg, IM, once. After reviewing the patient’s home medication list, which medication should the nurse be most concerned about?

A client is prescribed calcium carbonate for GERD. After reviewing the client’s chart, which potential risk does the nurse identify for the client?