Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A client presents with tinea corporis, and the prescriber orders itraconazole. When educating the client about this medication, the nurse will include which statement?
A. "Apply the medication over the entire body twice daily for two weeks."
Itraconazole is typically administered orally for fungal infections, not applied topically. This statement is incorrect.
B. "Use the medication for at least one week after the symptoms have cleared."
Using the medication for at least one week after symptoms have cleared is not a standard instruction for itraconazole. Treatment duration is usually prescribed by the healthcare provider.
C. "Sun exposure will minimize the drug's effects."
Sun exposure does not minimize the effects of itraconazole. This statement is inaccurate.
D. "This drug is effective after a single application."
Itraconazole is not usually applied topically, but this option is the closest to the correct information. However, the more accurate statement would be that itraconazole is effective when taken systemically for fungal infections.
This question is an excerpt from Nurse Dive's nursing test bank - Ramsussen Section 4 Module 11. Pharmocology For Professional Nursing Proctored Exam. Take the full exam now
Full Explanation
a) Itraconazole is typically administered orally for fungal infections, not applied topically. This statement is incorrect.
b) Using the medication for at least one week after symptoms have cleared is not a standard instruction for itraconazole. Treatment duration is usually prescribed by the healthcare provider.
c) Sun exposure does not minimize the effects of itraconazole. This statement is inaccurate.
d) Itraconazole is not usually applied topically, but this option is the closest to the correct information. However, the more accurate statement would be that itraconazole is effective when taken systemically for fungal infections.
Similar Questions
A client arrives in the emergency department with localized swelling of the lips and tongue. The client's medication list includes the following medications. Which of these medications does the nurse anticipate the provider discontinuing?
A. Amlodipine
Amlodipine is a calcium channel blocker and is less likely to cause angioedema compared to ACE inhibitors like captopril.
B. Budesonide
Budesonide is a corticosteroid and is not typically associated with angioedema.
C. Simvastatin
Simvastatin is a statin and is not known to cause angioedema.
D. Captopril
Captopril is an ACE inhibitor, and angioedema is a known adverse effect. In the presence of localized swelling of the lips and tongue, discontinuation of captopril is likely indicated.
Full Explanation
a) Amlodipine is a calcium channel blocker and is less likely to cause angioedema compared to ACE inhibitors like captopril.
b) Budesonide is a corticosteroid and is not typically associated with angioedema.
c) Simvastatin is a statin and is not known to cause angioedema.
d) Captopril is an ACE inhibitor, and angioedema is a known adverse effect. In the presence of localized swelling of the lips and tongue, discontinuation of captopril is likely indicated.
A nurse is giving discharge instructions to a client who is beginning theophylline. The nurse should tell the client that this medication might cause which of the following adverse effects?
A. Drowsiness
Theophylline, a bronchodilator, can cause central nervous system stimulation, leading to side effects such as insomnia, nervousness, and drowsiness.
B. Constipation
Constipation is not a common adverse effect of theophylline.
C. Oliguria
Oliguria is not a typical side effect of theophylline.
D. Tachycardia
Tachycardia is more commonly associated with theophylline toxicity. While it can be a side effect, it is not the most prominent or common adverse effect.
Full Explanation
a) Theophylline, a bronchodilator, can cause central nervous system stimulation, leading to side effects such as insomnia, nervousness, and drowsiness.
b) Constipation is not a common adverse effect of theophylline.
c) Oliguria is not a typical side effect of theophylline.
d) Tachycardia is more commonly associated with theophylline toxicity. While it can be a side effect, it is not the most prominent or common adverse effect.
A client is started on warfarin therapy. Identify the appropriate nursing implications associated with this medication. (Select all that apply.)
A. Advise the client to avoid prolonged immobility and participate in exercise activities while on warfarin.
Advising the client to avoid prolonged immobility and participate in exercise activities is a general health recommendation but not specifically related to warfarin therapy.
B. Safe and effective warfarin therapy requires rigid adherence to the dosing schedule.
Safe and effective warfarin therapy requires rigid adherence to the dosing schedule to maintain therapeutic anticoagulation levels.
C. Therapy will be evaluated by monitoring PT/INR frequently at first, then every 2-4 weeks after that.
Monitoring PT/INR frequently initially and then regularly helps assess the effectiveness and safety of warfarin therapy.
D. The client should be encouraged to use non-steroidal anti-inflammatory drugs (NSAIDs) for pain relief while on warfarin.
Encouraging the use of NSAIDs is not recommended with warfarin due to the increased risk of bleeding.
E. Instruct the client to avoid foods high in Vitamin K while on warfarin.
Instructing the client to avoid foods high in Vitamin K is important because Vitamin K can interfere with the anticoagulant effects of warfarin.
Full Explanation
a) Advising the client to avoid prolonged immobility and participate in exercise activities is a general health recommendation but not specifically related to warfarin therapy.
b) Safe and effective warfarin therapy requires rigid adherence to the dosing schedule to maintain therapeutic anticoagulation levels.
c) Monitoring PT/INR frequently initially and then regularly helps assess the effectiveness and safety of warfarin therapy.
d) Encouraging the use of NSAIDs is not recommended with warfarin due to the increased risk of bleeding.
e) Instructing the client to avoid foods high in Vitamin K is important because Vitamin K can interfere with the anticoagulant effects of warfarin.