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Heart rate is an important vital sign to monitor in patients, but it is not the primary outcome
data to prioritize when administering a 20% mannitol intravenous (IV) solution. Mannitol is a
diuretic that works by increasing the amount of urine produced. Therefore, while heart rate
can be affected by fluid balance changes, it is not the most directly relevant outcome to
monitor in this context.

Ankle circumference could be an indicator of peripheral edema, which might suggest fluid
overload or poor kidney function. However, in the context of mannitol administration, which is

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a diuretic and would be expected to decrease fluid overload, ankle circumference is not the
primary outcome to monitor.

Dietary intake is always important to monitor in patients, especially those receiving IV
therapy, as it can impact electrolyte balance and overall health status. However, it is not the
primary outcome to monitor when administering mannitol.

Famotidine is a type of medication called a proton pump inhibitor (PPI). PPIs are often used in the treatment of H. pylori because they reduce the production of stomach acid, which makes the environment more conducive for antibiotics to work.

Loperamide is a medication used to treat diarrhea. It is not typically part of the H. pylori
treatment regimen.

Ipratropium is a medication used to treat bronchospasm associated with COPD and is not
related to H. pylori treatment.

While it’s important to review the medication regimen if a patient is not responding to
treatment, it’s also crucial to understand that antidepressants like amitriptyline don’t typically
show their full effects immediately. It’s common for these medications to take several weeks
before their full therapeutic effect becomes apparent.

A dosage increase may be considered if the patient shows no improvement after a sufficient
period, typically several weeks. However, since the patient has only been on the medication for
five days, it’s too early to consider a dosage increase.

Therapy can indeed be beneficial in treating depression and can enhance the effect of
medication. However, the statement that the medication isn’t working after five days is likely
due to the fact that antidepressants usually take longer to start showing effects.

Deep inhalation through the nose is not typically recommended prior to the instillation of
nasal drops. It could potentially draw the medication deeper into the nasal passages or into the
throat, rather than allowing it to remain in the intended area15.

Holding the breath temporarily is not typically necessary or recommended prior to the
instillation of nasal drops15.

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Exhaling deeply through the nose prior to the instillation of nasal drops could potentially clear
the nasal passages, but it is not as effective or recommended as using a tissue to clear the
nose15.

Diminished urinary urgency is an expected outcome of oxybutynin treatment, as the
medication works by relaxing the muscles of the bladder.

Reduced urinary frequency is another expected outcome of oxybutynin treatment.

Less frequent urinary incontinence is an expected outcome of oxybutynin treatment.

While it’s important to continue monitoring the patient and assessing the pain level, this alone
may not be sufficient if the patient’s pain remains uncontrolled.

Non-pharmacological methods of pain control can be beneficial, but they are typically used in
conjunction with medication, not as a replacement for it when the pain level is high.

Informing the patient about the potential addictiveness of the medication is important, but it’s
not the most appropriate action to take in response to uncontrolled pain.

While inspecting the infusion site is a part of regular monitoring during a transfusion, it would
not typically be the first action in response to symptoms of a possible transfusion reaction.

Applying lotion to the skin would not address the underlying issue if the child is experiencing a
transfusion reaction.

Checking the vital signs is important, but the first action should be to stop the transfusion if a
reaction is suspected.

Encouraging the patient to share his concerns about the care plan is important, but it does not
directly address the patient’s question about why his temperature is being taken.

While it’s true that vital signs are often taken routinely, this does not specifically address why the patient’s temperature is being taken in this particular instance, four hours after administering promethazine.

While promethazine can affect body temperature, it is not primarily used to lower body temperature. Therefore, explaining that the medication works to lower body temperature may not be entirely accurate or relevant in this context.

While arterial blood gases can provide valuable information about a patient’s respiratory
status, they may not be the most relevant in this context. The patient’s symptoms and the side
effect profile of NRTIs suggest that liver function may be a more pressing concern.

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A complete blood count (CBC) can provide a broad overview of a patient’s general health, but it
may not provide the specific information needed to assess the patient’s current symptoms and
potential medication side effects.

A basic metabolic panel can provide information about a patient’s kidney function, electrolyte
levels, and blood sugar levels, among other things. However, given the patient’s symptoms and
medication regimen, liver function tests may be more relevant.

 Wearing protective clothing when in direct sunlight is not specifically related to taking alendronate. This advice is more relevant for medications that increase photosensitivity, which is not a known side effect of alendronate.

 Sucking on hard candy to increase oral secretions is not necessary for patients taking alendronate. This advice is typically given to patients experiencing dry mouth, which is not a common side effect of alendronate.

 Laying supine for 30 minutes after taking alendronate is incorrect. Patients should remain upright (sitting or standing) for at least 30 minutes after taking the medication to prevent esophageal irritation and ensure the medication reaches the stomach properly.

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Pyridoxine with a B complex multivitamin is not typically associated with ototoxicity (ringing
in the ears)7.

Rifampin is an antitubercular medication, but it is not commonly associated with ototoxicity.

Isoniazid is an antitubercular medication, but it is not commonly associated with ototoxicity.

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Famotidine is a type of medication known as an H2 blocker, which decreases the amount of
acid produced in the stomach. While it can indirectly lead to better sleep by reducing
discomfort, decreased nighttime awakenings is not a direct indicator of its effectiveness.

A positive stool antigen test is used to detect the presence of certain bacteria in the
gastrointestinal tract. It is not directly related to the action of famotidine.

Weight loss is not a typical result of famotidine use. If a patient experiences significant weight
loss, other causes should be investigated.

While flushing, dizziness, and general body warmth can occur with each sublingual tablet taken, these are side effects of the medication and not the primary intended effect. The main purpose of nitroglycerin is to relieve chest pain associated with angina.

A pounding headache is a common side effect of both the nitroglycerin patch and the sublingual tablets. However, the presence of a headache does not indicate whether the medication is effectively treating angina.

While it’s true that nitroglycerin patches are used for long-term prevention and sublingual tablets are used for acute attacks, this is general information about the medication and not the most important instruction for a patient who has been prescribed nitroglycerin.

Mouth dryness is not a typical therapeutic result of minoxidil. It’s not listed as a common side effect either.

An elevated blood glucose level is not related to the administration of minoxidil. It could be an unrelated finding, possibly indicating another condition like diabetes.

Pain rated at 1/10 is not directly related to the therapeutic effect or side effects of minoxidil. It could be an unrelated finding.

There is no specific interaction between tetracycline and grapefruit juice. However, it’s always a good idea to check with a healthcare provider about potential food-drug interactions.

The use of tampons during menses is not directly related to the use of tetracycline. It’s a personal choice based on comfort and convenience.

Tetracycline can bind to calcium in the stomach, which can decrease its effectiveness. Therefore, it’s generally recommended not to take tetracycline with milk products. However, if tetracycline is taken with meals to reduce stomach upset, the impact on absorption might be acceptable.

Dizziness while sitting up is not a therapeutic result of minoxidil. It could be a side effect or a symptom of orthostatic hypotension, which is a form of low blood pressure.

Blood glucose level of 218 mg/dl is not related to the therapeutic effect of minoxidil. Minoxidil is not used to control blood glucose levels. It’s used primarily to treat high blood pressure.

Pain rated at 1/10 is not a direct therapeutic result of minoxidil. Minoxidil is not an analgesic medication and does not directly affect pain levels.

While headache is a common side effect of metronidazole, it is not as serious as seizure activity and does not necessarily need to be reported to the charge nurse unless it is severe or persistent.

A metallic taste in the mouth is a common side effect of metronidazole. It is not a serious side effect and does not need to be reported to the charge nurse.

Abdominal cramping can be a side effect of metronidazole. However, it is not as serious as seizure activity and does not necessarily need to be reported to the charge nurse unless it is severe or persistent.

While headache is a common side effect of metronidazole, it is not as serious as seizure activity and does not necessarily need to be reported to the charge nurse unless it is severe or persistent.

A metallic taste in the mouth is a common side effect of metronidazole. It is not a serious side effect and does not need to be reported to the charge nurse.

Abdominal cramping can be a side effect of metronidazole. However, it is not as serious as seizure activity and does not necessarily need to be reported to the charge nurse unless it is severe or persistent.

Placing an indwelling urinary catheter is not the immediate next step in this client’s care. While it may be necessary in some cases, it is not directly related to the client’s current symptoms.

Giving a fluid bolus is not the immediate next step in this client’s care. While it may be necessary in some cases, it is not directly related to the client’s current symptoms.

Drawing a basic metabolic panel (BMP) could be helpful in assessing the client’s overall health and kidney function, but it is not the immediate next step in this client’s care.