The practical nurse (PN) gives the expectorant guaifenesin to a client with an upper respiratory tract infection. Which statement shows that the client has understood the instructions related to the use of the expectorant?

“It is best to take this medication with meals to prevent nausea.”.

“I should stay upright for 30 minutes after taking it to prevent indigestion.”.

“I will increase my fluid intake to help me cough up the sputum.”.

“To prevent injury, I should not combine this medication with levothyroxine.”.

Have you noticed the need to urinate less often?

Answer and Explanation

The Correct Answer is C

Choice A rationale

While taking medication with meals can sometimes help prevent nausea, this is not specifically related to the use of the expectorant guaifenesin. Therefore, this statement does not show that the client has understood the instructions related to the use of the expectorant.

Choice B rationale

Staying upright for 30 minutes after taking medication can sometimes help prevent indigestion, but this is not specifically related to the use of the expectorant guaifenesin. Therefore, this statement does not show that the client has understood the instructions related to the use of the expectorant.

Choice C rationale

Increasing fluid intake can help loosen mucus or phlegm in the lungs, which is the primary purpose of an expectorant like guaifenesin. Therefore, this statement shows that the client has understood the instructions related to the use of the expectorant.

Choice D rationale

While it’s important to avoid combining certain medications due to potential interactions, there’s no specific interaction between guaifenesin and levothyroxine that would cause injury. Therefore, this statement does not show that the client has understood the instructions related to the use of the expectorant.

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Correct Answer is D

Explanation

The correct answer is Choice D. Rationale:

Rivaroxaban is an anticoagulant medication used to treat and prevent blood clots. One of the common side effects of rivaroxaban is bruising. This occurs because rivaroxaban prevents blood clots by thinning the blood, which can lead to increased bleeding and bruising. If a patient on rivaroxaban presents with the appearance of bruising in arms and legs, it could indicate excessive bleeding, which is a serious side effect that should be reported immediately.

A. The patient enjoys eating aged cheeses. B. The patient takes medication upon rising. C. The patient reports frequent dryness in the mouth. D. The patient soaks in a warm bath at night.

Correct Answer is B

Explanation

Choice A rationale

While aged cheeses can interact with certain medications, they are not known to interact with tricyclic antidepressants or to have a significant impact on sleep patterns.

Choice B rationale

The timing of medication administration can significantly impact sleep patterns. If the patient is taking their medication upon rising, it could potentially be interfering with their sleep.

Choice C rationale

Dry mouth is a common side effect of tricyclic antidepressants. However, it is not typically associated with early morning awakening or difficulty returning to sleep.

Choice D rationale

Soaking in a warm bath at night can actually help promote sleep by raising the body’s core temperature and then allowing it to drop, which can trigger feelings of sleepiness.

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The practical nurse (PN) gives the expectorant guaifenesin to a client with an upper respiratory tract infection. Which statement shows that the client has understood the instructions related to the use of the expectorant?

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is caring for a client with deep vein thrombosis (DVT) who is receiving a prescription for rivaroxaban. Which assessment finding should the PN associate as an adverse effect of this medication and report immediately?

Correct Answer is D

Explanation

A patient with depression who is taking a tricyclic antidepressant (TCA) reports frequent early morning awakening and difficulty going back to sleep. Which information from the patient is important for the Practical Nurse (PN) to obtain to improve the patient’s sleep pattern?

Correct Answer is B

Explanation

Based on the patient’s status at 1600, what should the Practical Nurse (PN) prepare to do immediately? Select all that apply.

The practical nurse (PN) is helping with the care plan for a client who is taking the nonsteroidal anti-inflammatory drug ketorolac for painful back muscle spasms. What intervention should the PN include in the client’s care plan?

A client who is scheduled for colorectal surgery is receiving metronidazole intravenously preoperatively. Which problem should the practical nurse report to the charge nurse?

A patient with an overactive bladder has recently started taking oxybutynin. What observation should the practical nurse (PN) report to the charge nurse during the patient’s assessment prior to administering the medication?

The Practical Nurse (PN) is reinforcing information with a patient who has been diagnosed with Human Immunodeficiency Virus (HIV) about the antiretroviral medication regimen. Which patient statement should the PN recognize as requiring an additional review of the information?

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A client diagnosed with gout has prescriptions for colchicine and allopurinol to control future attacks. What is the most important information for the practical nurse (PN) to reinforce with the client?