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?

Long-term use of these drugs can lead to hypermagnesemia.

Long-term use may contribute to osteoporosis.

Proton pump inhibitors can cause diarrhea.

Proton pump inhibitors cause drowsiness.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Hypermagnesemia, or high levels of magnesium in the blood, is not a common side effect of proton pump inhibitors. These medications do not contain magnesium and do not cause the body to produce more magnesium.
Choice B rationale
Long-term use of proton pump inhibitors may contribute to osteoporosis. Some studies have suggested that these medications can interfere with calcium absorption, potentially leading to bone loss and an increased risk of fractures.
Choice C rationale
While some people may experience diarrhea as a side effect of proton pump inhibitors, it is not one of the most common side effects.
Choice D rationale
Drowsiness is not a typical side effect of proton pump inhibitors. These medications work by reducing the amount of acid produced in the stomach, but they do not typically affect alertness or energy levels.

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Correct Answer is D

Explanation

Choice A rationale
While older age and the use of certain medications can increase the risk of developing drug- resistant tuberculosis, these factors alone do not pose the greatest risk.
Choice B rationale
The presence of a red-orange color in the urine after being treated with rifampin is a common side effect of the medication and does not indicate an increased risk of developing drug- resistant tuberculosis.
Choice C rationale
A patient who has been taking rifampin and isoniazid as prescribed for 24 months is not at the greatest risk of developing drug-resistant tuberculosis. Adherence to the prescribed treatment regimen is actually crucial in preventing the development of drug-resistant strains of the disease.
Choice D rationale
A patient who did not complete the full course of anti-tubercular therapy in the past is at the greatest risk of developing a drug-resistant form of the disease. Incomplete treatment can allow tuberculosis bacteria to develop resistance to the medications used, leading to the emergence of drug-resistant strains.

A. Digoxin B. Furosemide C. Prednisolone D. Warfarin

Correct Answer is B

Explanation

Choice A rationale
Digoxin is a cardiac glycoside used to treat heart failure and atrial fibrillation. While it’s important to monitor digoxin levels in patients receiving gentamicin due to the risk of increased digoxin levels, it’s not the most concerning medication.
Choice B rationale
Furosemide is a loop diuretic that can cause ototoxicity, especially when used with aminoglycosides like gentamicin. Therefore, this is the medication the nurse should be most concerned about.
Choice C rationale
Prednisolone is a corticosteroid medication. While it’s important to monitor for potential interactions, it’s not the most concerning medication in this context.
Choice D rationale
Warfarin is an anticoagulant medication. While it’s important to monitor for potential interactions, it’s not the most concerning medication in this context.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which tuberculosis patient is at the greatest risk of developing a drug-resistant form of the disease?

Correct Answer is D

Explanation

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?

Correct Answer is B

Explanation

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

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