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) Coronary artery disease: It is crucial to assess for a history of coronary artery disease (CAD) before administering sumatriptan, as the medication is a serotonin receptor agonist that can cause vasoconstriction of coronary arteries. This can increase the risk of serious cardiovascular events, such as heart attack or stroke, particularly in clients with preexisting CAD.

B) Seasonal allergic rhinitis: While seasonal allergic rhinitis may be a concern for other medications due to potential allergic reactions or interactions, it is not directly related to the administration of sumatriptan. This condition does not pose a significant risk with the use of sumatriptan.

C) Type 2 diabetes mellitus: Although type 2 diabetes mellitus is an important consideration in the overall health management of a client, it is not the most critical condition to assess before administering sumatriptan. However, if the client has diabetes with associated complications like cardiovascular disease, this would increase concern for using sumatriptan.

D) Irritable bowel syndrome: Irritable bowel syndrome (IBS) is a gastrointestinal disorder that typically does not influence the decision to administer sumatriptan. While IBS may affect a client’s comfort or medication regimen, it does not present the same immediate risks as coronary artery disease when using sumatriptan.

A. I should use this medication in its hand inhaler every day. B. When I cough up sputum, the secretions should be less thick. C. I will use my other inhaler in between uses. D. If I have sudden shortness of breath, I will use this inhaler.

Correct Answer is A

Explanation

A. I should use this medication in its hand inhaler every day.: Tiotropium is a long-acting anticholinergic medication used for managing COPD, and it should be used daily, even if symptoms are not present. This statement indicates that the client understands the need for consistent daily use of the medication to manage COPD effectively.
B. When I cough up sputum, the secretions should be less thick.: Tiotropium is not specifically aimed at changing the thickness of sputum. It primarily works to open the airways, so while it may help with overall symptoms, it doesn't directly affect sputum viscosity.
C. I will use my other inhaler in between uses.: Tiotropium is usually prescribed for regular use as part of a long-term management plan, and the client may have other inhalers for different purposes (e.g., rescue inhalers for acute symptoms). However, the statement about using another inhaler in between uses may not be specific to the proper use of tiotropium itself.
D. If I have sudden shortness of breath, I will use this inhaler.: Tiotropium is a long-acting inhaled medication meant for maintenance therapy and is not intended for immediate relief of acute symptoms. For sudden shortness of breath, a rescue inhaler (usually containing a short-acting bronchodilator) would be more appropriate.

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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

Before administering the initial dose of sumatriptan succinate to a client with a migraine headache, it is most important to determine if the client's history includes which problem?

Correct Answer is A

Explanation

A client diagnosed with chronic obstructive pulmonary disease (COPD) is given a new prescription for tiotropium via an inhalation device. Which statement indicates that the client understands the Instructions for using this medication?

Correct Answer is A

Explanation

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