When administering ceftriaxone sodium IV to a client before surgery, which assessment finding requires immediate intervention by the nurse?

Nausea.

Stridor.

Headache.

Pruritus.

Answer and Explanation

The Correct Answer is B

A) 40-year-old female with frequent vaginal infections: Simvastatin is a medication used primarily to manage cholesterol levels and reduce the risk of cardiovascular diseases. Frequent vaginal infections are not directly related to cholesterol levels or cardiovascular risk. Therefore, this client is unlikely to benefit from education about simvastatin.
B) A 50-year-old male with a history of angina: Simvastatin is a statin medication prescribed to lower cholesterol levels and reduce the risk of cardiovascular events, such as heart attacks and strokes. Since angina is a symptom of coronary artery disease, a condition often related to high cholesterol levels, this client would benefit from education about simvastatin, which can help manage cholesterol and potentially reduce cardiovascular risk.
C) An 18-year-old pregnant female with type 1 diabetes mellitus: Statins, including simvastatin, are generally contraindicated during pregnancy due to potential risks to the developing fetus. Additionally, this client’s primary condition of type 1 diabetes mellitus would not typically be managed with simvastatin alone. Therefore, this client is not the target for simvastatin education.
D) A 75-year-old male with bone cancer: While simvastatin is used for managing cholesterol and preventing cardiovascular events, bone cancer is not directly related to cholesterol levels. The primary focus for this client would be managing cancer-related symptoms and treatments rather than cholesterol levels. Thus, this client would not benefit from education about simvastatin.

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Correct Answer is A

Explanation

A) Takes metformin hydrochloride for type 2 diabetes mellitus: Metformin can interact with the contrast dye used in CT scans, particularly in patients with impaired renal function. The contrast dye can affect kidney function, potentially leading to lactic acidosis in patients taking metformin. It is important to follow up on this history and possibly temporarily discontinue metformin and monitor kidney function before and after the procedure.

B) Metal hip prosthesis was placed twenty years ago: A metal hip prosthesis does not typically affect the CT scan with contrast, though it may affect the imaging technique or quality. This history usually does not require follow-up related to the contrast use.
C) Report of client's sobriety for the last five years: Sobriety does not directly impact the use of contrast dye in a CT scan. This information is relevant for overall health but not specifically for the use of contrast.
D) CT scan that was performed six months earlier: The timing of a previous CT scan is not a contraindication for a new scan with contrast. Follow-up on the history of a prior scan may be relevant for comparison but does not specifically impact the use of contrast dye.

A. Diabetes mellitus. B. Deep vein thrombosis. C. Renal disease. D. Chronic bronchitis.

Correct Answer is C

Explanation

A. Diabetes mellitus: While diabetes mellitus is an important condition to consider for overall health, it is not directly related to the use of magnesium hydroxide and aluminum hydroxide, as these antacids primarily affect the gastrointestinal system and renal function.
B. Deep vein thrombosis: Deep vein thrombosis is related to blood clot formation and does not have a direct connection to the use of magnesium and aluminum hydroxide, which affect the gastrointestinal system and renal function.
C. Renal disease: Magnesium hydroxide and aluminum hydroxide can affect kidney function and cause complications in individuals with renal disease. Magnesium and aluminum are excreted through the kidneys, and impaired renal function can lead to an accumulation of these substances, causing potential toxicity.
D. Chronic bronchitis: Chronic bronchitis affects the respiratory system and is not directly impacted by the use of magnesium and aluminum hydroxide, which are primarily concerned with gastrointestinal and renal function.

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When administering ceftriaxone sodium IV to a client before surgery, which assessment finding requires immediate intervention by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is scheduled for a spiral computed tomography (CT) scan with contrast to evaluate for pulmonary embolism. Which information in the client's history requires follow up by the nurse?

Correct Answer is A

Explanation

A male client tells the home health nurse that he has started taking magnesium hydroxide and aluminum hydroxide to treat occasional heartburn. It is most important for the nurse to review the client's medical history regarding the presence of which disorder?

Correct Answer is C

Explanation

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