The nurse should question an order for bismuth salts for a client with what condition?

Rheumatoid arthritis.

Viral gastroenteritis.

Allergy to aspirin.

Hypertension.

Answer and Explanation

The Correct Answer is C

The nurse should question an order for bismuth salts for a client with an allergy to aspirin because bismuth salts contain salicylates, which are chemically related to aspirin and can cause allergic reactions.

Choice A is wrong because rheumatoid arthritis is not a contraindication for bismuth salts.

Bismuth salts may have anti-inflammatory effects that could benefit clients with rheumatoid arthritis.

Choice B is wrong because viral gastroenteritis is not a contraindication for bismuth salts.

Bismuth salts may help reduce diarrhea and inflammation caused by viral gastroenteritis.

Choice D is wrong because hypertension is not a contraindication for bismuth salts.

Bismuth salts do not affect blood pressure or interact with antihypertensive medications.

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Correct Answer is A

Explanation

This is because phenothiazines are contraindicated in patients with suspected or established subcortical brain damage. Phenothiazines can cause central nervous system effects such as drowsiness, dizziness, and extrapyramidal symptoms that may worsen the condition of a client with a brain injury.

Choice B is wrong because phenothiazines are not contraindicated in clients with ischemic heart disease.

However, they should be used with caution as they can cause hypotension and cardiac arrhythmias.

Choice C is wrong because phenothiazines are not contraindicated in pediatric clients.

However, they should be used with caution as they can cause sedation, anticholinergic effects, and paradoxical excitement.

Choice D is wrong because phenothiazines are not contraindicated in clients with type 2 diabetes.

However, they should be used with caution as they can cause hyperglycemia and alter the effects of antidiabetic drugs.

A. “Split the dose into two equal doses.”. B. “Take before bedtime.”. C. “Take 1 hour before meals.”. D. “Take it first thing in the morning.”.

Correct Answer is D

Explanation

This is because prednisolone can cause insomnia if taken later in the day, and it mimics the natural secretion of cortisol by the adrenal glands, which peaks in the morning.

Choice A is wrong because splitting the dose into two equal doses can increase the risk of adrenal suppression and reduce the efficacy of alternate-day therapy (ADT), which is used to minimize adverse effects of corticosteroids.

Choice B is wrong because taking prednisolone before bedtime can interfere with sleep and cause nocturnal cortisol secretion, which can lead to Cushing syndrome.

Choice C is wrong because taking prednisolone 1 hour before meals can cause gastric irritation and ulceration, and it is recommended to take it with food or milk.

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The nurse should question an order for bismuth salts for a client with what condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

For which client would the use of a phenothiazine most likely be contraindicated?

Correct Answer is A

Explanation

The home health nurse provides client teaching to a client who is taking oral prednisolone. The nurse provides what instruction to the client?

Correct Answer is D

Explanation

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

A college student with migraine headaches that cause nausea and vomiting has been prescribed trimethobenzamide. The nurse should caution the student to avoid using which substance?

The nurse is providing discharge teaching for a client prescribed prednisone to be taken on alternate days. The client asks why he cannot just take half a pill every day. What rationale should the nurse describe?

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

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?

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

A client with a duodenal ulcer is receiving sucralfate for short-term treatment. What should the nurse advise the client to avoid?

The client is 8 weeks pregnant and requires an antithyroid medication. The nurse identifies what drug as the drug of choice for this client?