A client with Diabetes who is experiencing Nausea due to Gastroparesis may require a prescription for which of the following medications?

Correct Answer: B

Rationale: In this scenario, the correct answer is B) Metoclopramide. Metoclopramide is a prokinetic agent that helps to improve gastric motility, making it an appropriate choice for a client with diabetes experiencing nausea due to gastroparesis, a condition characterized by delayed stomach emptying. Option A) Lubiprostone is a medication used for constipation and irritable bowel syndrome, not for gastroparesis-induced nausea. Option C) Bisacodyl is a laxative used for constipation and bowel preparation, unrelated to treating gastroparesis. Option D) Loperamide is an antidiarrheal medication, not indicated for gastroparesis-related nausea. Educationally, understanding the mechanisms of action of various medications is crucial in pharmacology. It is essential for nurses to know which drugs are appropriate for specific conditions to provide safe and effective care to their patients. In this case, recognizing the role of Metoclopramide in improving gastric motility helps in selecting the most suitable treatment option for a client with diabetes and gastroparesis-induced nausea.

Correct Answer: C

Rationale: The correct answer is C. The client should report increasing intensity, frequency, or duration of contractions to the provider because these are manifestations of preterm labor. This response demonstrates the client's understanding of the importance of monitoring contractions and seeking appropriate medical attention.

Correct Answer: A

Rationale: Before starting Calcitonin-salmon, it is important to assess for any potential allergies as anaphylaxis can occur. A skin test is usually conducted to determine if the client is allergic to the medication. The nurse should also inquire about any previous allergies to fish, as Calcitonin-salmon is derived from salmon.

Correct Answer: C

Rationale: The correct answer is C) Warfarin. Warfarin is contraindicated with aspirin because both drugs have anticoagulant effects, and when taken together, they can increase the risk of bleeding significantly. Aspirin inhibits platelet aggregation, while warfarin interferes with the clotting factors in the liver, leading to an additive anticoagulant effect that can be dangerous. Option A) Digoxin is not contraindicated with aspirin. Digoxin is a cardiac glycoside used to treat heart failure and atrial fibrillation. There is no significant interaction between digoxin and aspirin. Option B) Metformin is not contraindicated with aspirin. Metformin is an oral antidiabetic medication used to manage blood sugar levels in patients with diabetes. There is no significant interaction between metformin and aspirin. Option D) Nitroglycerin is not contraindicated with aspirin. Nitroglycerin is a vasodilator used to treat angina and heart failure. There is no significant interaction between nitroglycerin and aspirin. In an educational context, understanding drug interactions is crucial in pharmacology to ensure safe and effective medication management. It is essential for healthcare providers to be aware of potential interactions between medications to prevent adverse effects and optimize patient outcomes. This question highlights the importance of considering drug interactions when prescribing multiple medications to a patient.

Correct Answer: C

Rationale: It is crucial to withhold all opioids, including Morphine, if the client's respiratory rate is 12/min or less, and promptly inform the healthcare provider. Respiratory depression is a significant adverse effect of opioids, and administering them when the respiratory rate is already compromised can further suppress breathing, leading to potentially life-threatening complications.