A client is taking oral Oxycodone and Ibuprofen in recommended doses. The nurse should identify that an interaction between these two medications will cause which of the following findings?

Correct Answer: C

Rationale: When Oxycodone, a narcotic analgesic, and Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), are taken together, they work synergistically to enhance the pain-relieving effects of both medications. These drugs act through different mechanisms, leading to a combined analgesic effect that is more effective than when used alone. Therefore, the interaction between Oxycodone and Ibuprofen results in an increase in the expected therapeutic effect of both medications.

Correct Answer: A

Rationale: In this scenario, the correct action by the nurse is to perform immediate gastric lavage (Option A) for a client with a plasma Lithium level of 2.1 mEq/L. Gastric lavage helps remove the unabsorbed lithium from the stomach, preventing further absorption and reducing toxicity. Lithium toxicity can lead to serious complications such as neurologic symptoms, renal failure, and even death. Gastric lavage is a rapid and effective way to reduce the amount of lithium in the body. Option B, preparing the client for hemodialysis, is not the initial intervention for lithium toxicity. Hemodialysis is considered if the lithium level is extremely high or if the client is experiencing severe symptoms that are not responsive to other treatments. Option C, administering an additional oral dose of lithium, is contraindicated in the case of lithium toxicity as it would further increase the lithium level in the body. Option D, requesting a stat repeat of the laboratory test, may be important for monitoring the client's lithium levels after the initial intervention of gastric lavage. However, in the acute phase of toxicity, immediate action to reduce the lithium level is crucial to prevent harm. In an educational context, understanding the appropriate interventions for lithium toxicity is essential for nurses caring for clients on lithium therapy. Nurses need to be able to recognize the signs of lithium toxicity, know the appropriate interventions, and understand the importance of timely and effective management to ensure positive client outcomes. Regular education and training on pharmacology principles, including drug toxicities and their management, are vital for nursing practice.

Correct Answer: D

Rationale: In this scenario, the correct statement that the nurse should include in the teaching is option D) "You should have your white blood cell count monitored every week." Rationale: - Correct Answer (D): Clozapine is known to cause agranulocytosis, a serious condition characterized by a dangerously low white blood cell count. Regular monitoring of white blood cell counts is crucial to detect and prevent this potentially life-threatening side effect. This statement emphasizes the importance of close monitoring to ensure the client's safety. - Incorrect Answer (A): While a high-carbohydrate snack may be recommended to manage potential side effects like weight gain associated with Clozapine, this is not the most critical information to include in the teaching compared to the need for white blood cell monitoring. - Incorrect Answer (B): Hand tremors are not a common side effect of Clozapine, so emphasizing this potential effect may cause unnecessary concern for the client and is not a priority in the teaching. - Incorrect Answer (C): Temporary numbness of the mouth is not a common side effect of Clozapine. Focusing on this potential side effect may distract from the more critical information about monitoring white blood cell counts. Educational Context: Understanding the side effects and monitoring requirements of psychiatric medications like Clozapine is essential for nurses to ensure the safe and effective care of clients with mental health conditions. Emphasizing the importance of specific monitoring protocols, such as regular white blood cell count monitoring in the case of Clozapine, helps prevent serious complications and promotes client well-being. Nurses play a crucial role in educating clients about their medications to empower them to manage their health effectively.

Correct Answer: B

Rationale: When administering transdermal Methylphenidate, the patch should be left on for 9 hours per day to ensure optimal absorption and effectiveness of the medication. This duration helps maintain a consistent level of the drug in the child's system. Incorrect options: A) Applying one patch once per day is not the correct dosing regimen for transdermal Methylphenidate. C) The patch should not be applied to the child's waistline as it is recommended to apply it to a clean, dry area. D) Using the opened tray within 6 months is not directly related to the administration of transdermal Methylphenidate.

Correct Answer: A

Rationale: Neostigmine is a cholinesterase inhibitor commonly used to reverse the effects of nondepolarizing neuromuscular blockers by increasing acetylcholine levels at the neuromuscular junction, thereby helping to restore muscle strength. Naloxone is an opioid antagonist used to reverse opioid effects, not neuromuscular blockade. Dantrolene is a skeletal muscle relaxant used to treat malignant hyperthermia or neuroleptic malignant syndrome, not to reverse neuromuscular blockade. Vecuronium is a nondepolarizing neuromuscular blocking agent, like the one the client received, and is not used to reverse its effects.