Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A client who reports routine consumption of more than three alcoholic beverages per day asks about taking acetaminophen when needed for occasional recurrent pain. What will the nurse tell the client?
A. "Do not take a scheduled-dose preparation of acetaminophen with opioid analgesics."
The statement about not taking a scheduled-dose preparation of acetaminophen with opioid analgesics is unrelated to the client's question about alcohol consumption.
B. "Do not take more than 3 gm of acetaminophen a day."
Excessive alcohol intake increases the risk of acetaminophen-induced liver damage. The recommended maximum dose is 3 grams per day to minimize the risk of hepatotoxicity.
C. "Do not take more than 2 gm of acetaminophen a day."
The recommendation of not exceeding 2 gm of acetaminophen a day is conservative, but the commonly accepted maximum is 3 grams per day.
D. "Do not take more than 4 gm of acetaminophen a day."
While the general guideline is not to exceed 4 grams of acetaminophen per day for the general population, individuals with alcohol consumption may be more susceptible to liver damage, so a lower limit is often advised.
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) The statement about not taking a scheduled-dose preparation of acetaminophen with opioid analgesics is unrelated to the client's question about alcohol consumption.
b) Excessive alcohol intake increases the risk of acetaminophen-induced liver damage. The recommended maximum dose is 3 grams per day to minimize the risk of hepatotoxicity.
c) The recommendation of not exceeding 2 gm of acetaminophen a day is conservative, but the commonly accepted maximum is 3 grams per day.
d) While the general guideline is not to exceed 4 grams of acetaminophen per day for the general population, individuals with alcohol consumption may be more susceptible to liver damage, so a lower limit is often advised.
Similar Questions
Insulin glargine is prescribed for a hospitalized client who has diabetes. When will the nurse expect to administer this drug?
A. Approximately 15 to 30 minutes before each meal
Insulin glargine is a long-acting basal insulin and is not typically administered before each meal.
B. After meals and at bedtime
Administering insulin glargine after meals is not the standard practice. It is given once daily to provide a continuous basal insulin level.
C. Once-daily at the same time every day
Insulin glargine is a once-daily basal insulin that is usually administered at the same time every day to maintain a consistent level of insulin in the body.
D. With meals
Unlike short-acting insulins, insulin glargine is not given with meals but provides a basal level of insulin throughout the day.
Full Explanation
a) Insulin glargine is a long-acting basal insulin and is not typically administered before each meal.
b) Administering insulin glargine after meals is not the standard practice. It is given once daily to provide a continuous basal insulin level.
c) Insulin glargine is a once-daily basal insulin that is usually administered at the same time every day to maintain a consistent level of insulin in the body.
d) Unlike short-acting insulins, insulin glargine is not given with meals but provides a basal level of insulin throughout the day.
To prevent yellow or brown discoloration of teeth, tetracycline use should be avoided in which of the following clients?
A. Clients taking calcium supplements.
Tetracycline should not be taken with calcium supplements as calcium can interfere with its absorption, but this is not related to tooth discoloration.
B. Children with fully developed permanent teeth
Tetracycline can cause yellow or brown discoloration of teeth in children with developing permanent teeth. It is generally contraindicated in children under 8 years of age.
C. Clients that are lactose intolerant.
Lactose intolerance is not directly related to the risk of tooth discoloration with tetracycline.
D. Pregnant clients after the fourth month of gestation.
Tetracycline is generally contraindicated in pregnant clients, especially after the fourth month of gestation, due to potential effects on fetal bone and tooth development.
Full Explanation
a) Tetracycline should not be taken with calcium supplements as calcium can interfere with its absorption, but this is not related to tooth discoloration.
b) Tetracycline can cause yellow or brown discoloration of teeth in children with developing permanent teeth. It is generally contraindicated in children under 8 years of age.
c) Lactose intolerance is not directly related to the risk of tooth discoloration with tetracycline.
d) Tetracycline is generally contraindicated in pregnant clients, especially after the fourth month of gestation, due to potential effects on fetal bone and tooth development.
A nurse is preparing discharge teaching for a client who will be going home on warfarin. Which of these client statements indicates the need for further instruction?
A. "I should avoid alcohol and herbal remedies while I am taking warfarin."
Avoiding alcohol and herbal remedies is a correct instruction because they can interact with warfarin and increase the risk of bleeding.
B. "If I notice signs of bleeding I will stop taking warfarin and follow up with my doctor in a week."
Stopping warfarin abruptly without healthcare provider guidance can be dangerous and increase the risk of thrombosis. Signs of bleeding should be reported promptly to the healthcare provider for appropriate management.
C. "I should be consistent with my intake of leafy greens while I am taking warfarin."
Being consistent with the intake of leafy greens is important to maintain a stable INR, as these foods contain vitamin K, which can interfere with warfarin.
D. "I should have my international normalized ratio (INR) checked regularly while I am on warfarin."
Regular INR monitoring is essential to ensure that the client is within the therapeutic range and to make adjustments to the warfarin dosage if necessary.
Full Explanation
a) Avoiding alcohol and herbal remedies is a correct instruction because they can interact with warfarin and increase the risk of bleeding.
b) Stopping warfarin abruptly without healthcare provider guidance can be dangerous and increase the risk of thrombosis. Signs of bleeding should be reported promptly to the healthcare provider for appropriate management.
c) Being consistent with the intake of leafy greens is important to maintain a stable INR, as these foods contain vitamin K, which can interfere with warfarin.
d) Regular INR monitoring is essential to ensure that the client is within the therapeutic range and to make adjustments to the warfarin dosage if necessary.