Megestrol acetate (Megace), an antineoplastic medication, is prescribed for a client with metastatic endometrial carcinoma. The nurse reviews the client's history and contacts the registered nurse if which diagnosis is documented in the client's history?

Correct Answer: C

Rationale: Megestrol acetate can increase the risk of thromboembolic events. Clients with a history of thrombophlebitis should not receive this medication due to the increased risk of thromboembolic events. Therefore, the nurse should contact the registered nurse if thrombophlebitis is documented in the client's history to ensure appropriate medication management.

Correct Answer: C

Rationale: The correct answer is C) Runny nose. Desmopressin acetate is a synthetic analogue of the antidiuretic hormone vasopressin. When administered intranasally, it can lead to side effects such as nasal congestion, runny nose, or irritation in the nasal passages. This is due to the direct contact of the medication with the nasal mucosa. Option A) Headache is a common side effect of desmopressin, but it typically occurs less frequently than nasal symptoms. Option B) Vulval pain is not a known side effect of intranasal desmopressin. Option D) Flushed skin is also not a typical side effect associated with this medication. In an educational context, it is important for healthcare providers to be knowledgeable about the side effects of medications they prescribe to ensure safe and effective patient care. Understanding the potential adverse effects of desmopressin acetate, such as nasal symptoms, allows healthcare providers to educate patients on what to expect and how to manage these effects.

Correct Answer: C

Rationale: The correct answer is C because cholestyramine should not only be taken with water. Flavored products or fruit juices can improve the taste. Choices A, B, and D are all correct statements. It is important for the client to continue taking vitamin supplements, understand that cholestyramine helps lower cholesterol, and maintain a high-fiber diet while taking this medication to enhance its effectiveness.

Correct Answer: A

Rationale: In pharmacology, the order of administration of inhalers is crucial to ensure optimal therapeutic effects. The correct answer, option A, directs the nurse to administer albuterol (a short-acting bronchodilator) first, followed by beclomethasone dipropionate (a corticosteroid). This sequence is essential because albuterol helps to open the airways quickly, allowing better penetration of the corticosteroid for long-term control of inflammation. Option B is incorrect as administering the corticosteroid before the bronchodilator may limit the bronchodilator's effectiveness due to inadequate airway opening. Option C and D are also incorrect as alternating puffs of each medication may not provide the appropriate therapeutic effect needed for each medication. In an educational context, understanding the rationale behind the order of inhaler administration is crucial for nursing students to provide safe and effective care to patients with respiratory conditions. This knowledge ensures that students can prioritize medications based on their pharmacological actions and optimize treatment outcomes for patients.

Correct Answer: A

Rationale: The correct answer is A) The client should reschedule the appointment. Fexofenadine is a second-generation antihistamine that can interfere with allergy skin testing results by blocking the histamine response. This interference can lead to false-negative results if the test is conducted while the medication is still in the client's system. Option B) and C) are incorrect because adjusting the allergen dose would not address the interference caused by the antihistamine in the system. Option D) is also incorrect because delaying the reading of the skin test would not eliminate the impact of fexofenadine on the test results. In an educational context, it is important for healthcare providers to be aware of how various medications can affect diagnostic tests to ensure accurate results and appropriate patient care. Understanding the pharmacological properties of medications and their potential interactions with diagnostic procedures is crucial for safe and effective practice.