A patient arrives at the urgent care center complaining of leg pain after a fall when rock climbing. The x-rays show no broken bones, but he has a large bruise on his thigh. The patient says he drives a truck and does not want to take anything strong because he needs to stay awake. Which statement by the nurse is most appropriate?

Correct Answer: D

Rationale: The correct answer is D: You can take acetaminophen, also known as Tylenol, for pain, but no more than 3000 mg per day. Rationale: 1. Acetaminophen is a suitable option for mild to moderate pain relief and is less likely to cause drowsiness compared to opioids. 2. The recommended maximum daily dose of acetaminophen is 3000 mg to avoid potential liver damage. 3. Advising the patient to take acetaminophen up to 3000 mg per day balances pain management with patient safety. 4. Option C's limit of 1000 mg per day may not provide sufficient pain relief for the patient's condition. 5. Option A is too vague and does not address the patient's pain management needs effectively. 6. Option B suggests opioid use without considering the patient's preference to avoid strong medications that may impair his ability to drive.

Correct Answer: C

Rationale: Step-by-step rationale: 1. Taking with water and food helps prevent stomach irritation. 2. Enteric-coated aspirin can cause irritation if taken on an empty stomach. 3. Water helps with swallowing and food helps with absorption. 4. Ensuring proper intake enhances its effectiveness in stroke prevention. Summary: A is incorrect as aspirin is enteric-coated for a reason, not requiring an empty stomach. B is incorrect as bleeding is a potential risk with aspirin therapy. D is incorrect as crushing coated tablets can alter their efficacy.

Correct Answer: D

Rationale: The correct answer is D because Advair inhaler contains fluticasone propionate (a steroid) and salmeterol (a long-acting bronchodilator) which work together to prevent bronchospasms. Fluticasone reduces inflammation in the airways, while salmeterol helps to relax the muscles around the airways. This combination is not meant for the treatment of acute bronchospasms (A), does not require a spacer for best results (B), and does not have any specific restrictions on drinking water after use (C).

Correct Answer: C

Rationale: The correct answer is C. Microsomal oxidation involves the addition of functional groups, such as hydroxyl groups, to a drug molecule, increasing its polarity, ionization, and water solubility. This can enhance the drug's elimination from the body through renal excretion. Choice A is incorrect as microsomal oxidation does not always result in inactivation. Choice B is incorrect because microsomal oxidation can sometimes increase compound toxicity by producing reactive metabolites. Choice D is incorrect as microsomal oxidation typically increases water solubility, not lipid solubility, of a drug.

Correct Answer: B

Rationale: The correct answer is B because a teratogenic action refers to substances or factors that can negatively affect the fetus during pregnancy, leading to fetal malformations or abnormalities. This is a well-established concept in the field of developmental biology and teratology. Options A, C, and D are incorrect as they do not specifically pertain to the impact on fetal development, which is the defining characteristic of teratogenic actions. Option A focuses on the liver, Option C on the blood system, and Option D on the kidneys, none of which directly relate to the concept of teratogenicity.