Which of these clients would the nurse expect to be the best candidate for misoprostol?

A 12-year-old child with obsessive-compulsive disorder.

A 46-year-old trial lawyer with hypertension.

An 83-year-old client with rheumatoid arthritis.

A 22-year-old pregnant client.

None

Answer and Explanation

The Correct Answer is C

A. A 12-year-old child with obsessive-compulsive disorder is not typically a candidate for misoprostol, as it is not indicated for this condition.

B. A 46-year-old trial lawyer with hypertension might need caution when using misoprostol, as it can cause diarrhea and abdominal pain, which could be problematic.

C. An 83-year-old client with rheumatoid arthritis is the best candidate for misoprostol, particularly if they are taking nonsteroidal anti-inflammatory drugs (NSAIDs) for their condition. Misoprostol is often used to prevent NSAID-induced gastric ulcers in patients at high risk, such as elderly individuals or those with a history of ulcers.

D. A 22-year-old pregnant client should not be given misoprostol unless it is used for specific obstetric indications under close supervision. Misoprostol can induce uterine contractions and is contraindicated in pregnancy unless used for medical reasons like inducing labor or treating postpartum hemorrhage.

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Correct Answer is C

Explanation

This is because aprepitant can cause dehydration as an adverse effect, so the nurse will want to encourage the client to drink as much liquid as possible.

Choice A is wrong because the client’s temperature would not be affected by aprepitant.

Choice B is wrong because the client must be encouraged for fluid intake as tolerated, so placing an NPO sign on the door would not be appropriate for this client.

Choice D is wrong because elevating the head of the bed would be unnecessary for a client receiving aprepitant.

A. tetraiodothyronine. B. thyroid-stimulating hormone (TSH). C. triiodothyronine.

Correct Answer is B

Explanation

Thyroid-stimulating hormone - Wikipedia Thyroid-stimulating hormone (TSH) is a hormone produced by the anterior pituitary gland that stimulates the thyroid gland to release its own hormones, triiodothyronine (T) and thyroxine (T).12 If the anterior pituitary gland is dysfunctional, it will not produce enough TSH, leading to low levels of T and T. This condition is called secondary or pituitary hypothyroidism.123

Choice A is wrong because tetraiodothyronine is another name for thyroxine (T), which is a hormone produced by the thyroid gland, not the anterior pituitary gland.14

Choice C is wrong because triiodothyronine (T) is also a hormone produced by the thyroid gland, not the anterior pituitary gland.14

Normal ranges for TSH are 0.4 to 4.0 mIU/L, for T are 100 to 200 ng/dL, and for T are 4.5 to 11.2 mcg/dL.1

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Which of these clients would the nurse expect to be the best candidate for misoprostol?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is an appropriate nursing action for a hospitalized client receiving aprepitant?

Correct Answer is C

Explanation

The nurse is working with a client who is newly diagnosed with hypothyroidism. Diagnostic testing has indicated that the client’s health problem is caused by anterior pituitary dysfunction. This client’s hypothyroidism is rooted in a deficiency of:

Correct Answer is B

Explanation

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

The client is 34 years old and has recently started taking theophylline. The nurse knows that medication teaching has been successful when the client agrees to what activity?

The nurse is caring for a client with renal dysfunction who requires an oral antidiabetic agent. What drug will the nurse expect to see ordered?

Which of these clients would the nurse expect to be the best candidate for misoprostol?

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

The client, newly diagnosed with diabetic retinopathy, asks what caused this disorder. What is the nurse’s best response?

The nurse is caring for a client who has begun vomiting. The nurse is aware that which part of the client’s brain has been stimulated?

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