What instructions should the practical nurse (PN) review with a client diagnosed with vaginal trichomoniasis who is prescribed oral metronidazole?

Correct Answer: B

Rationale: In this scenario, option B is the correct answer. The practical nurse (PN) should review with the client that their sexual partner(s) should also be treated when diagnosed with vaginal trichomoniasis and prescribed oral metronidazole. This is crucial to prevent re-infection and ensure the complete eradication of the parasite from both individuals. Option A is incorrect because while it is important to advise clients on potential side effects of medications, avoiding direct sunlight exposure and using sunscreen with SPF100 is not specifically relevant to the treatment of vaginal trichomoniasis with metronidazole. Option C is incorrect as advising against the use of vinegar or commercial product douches is a general guideline for vaginal health but not directly related to the treatment of trichomoniasis with metronidazole. Option D is incorrect as there is no need to eliminate dairy products from the diet during the treatment of vaginal trichomoniasis with metronidazole. In an educational context, it is important for practical nurses to understand the comprehensive care required for clients diagnosed with sexually transmitted infections like trichomoniasis. Educating clients on treatment protocols, including partner notification and treatment, is essential in preventing the spread of infection and promoting overall health and well-being.

Correct Answer: C

Rationale: The correct insulin type for the nurse to mix into the intravenous fluids is regular insulin. In the scenario of diabetic ketoacidosis (DKA), rapid reduction of blood glucose levels is crucial. Regular insulin has a fast onset of action, making it suitable for intravenous administration to address the high blood sugar levels seen in DKA. Isophane, Glargine, and Detemir are not appropriate choices for intravenous administration in this emergency situation as they are intermediate-acting or long-acting insulins.

Correct Answer: D

Rationale: The correct answer is D. Nitroglycerine sublingual tablets need to be replaced every 3 to 5 months, not every year, making statement A incorrect. While nitroglycerine can cause a headache, it is important to continue taking the prescribed nitroglycerine if the client has angina, making statement B accurate. Nitroglycerine tablets do not cause addiction, so statement C is correct. Dizziness and weakness are associated with the hypotensive effect of nitroglycerine; therefore, if the client feels dizzy when taking them, they should sit down or lie down until they feel better. Taking nitroglycerine tablets before an activity known to cause angina can help prevent angina attacks.

Correct Answer: A

Rationale: Atorvastatin is a medication commonly prescribed to lower cholesterol levels. The correct answer is A) Muscle pain and weakness. This is because atorvastatin, a statin medication, has been associated with a potential adverse effect known as myopathy, which can manifest as muscle pain and weakness. Monitoring for these symptoms is crucial to prevent serious complications like rhabdomyolysis. Option B) Headache is incorrect because headaches are not a common adverse effect of atorvastatin. Option C) Hepatotoxicity is incorrect as well, though statins can affect liver enzymes, hepatotoxicity is a rare adverse effect. Option D) Gastrointestinal bleeding is not typically associated with atorvastatin use. Educationally, it is important for healthcare professionals to understand the common adverse effects of medications to provide safe and effective patient care. Monitoring for potential adverse effects allows for early detection and intervention, ultimately improving patient outcomes. In the case of atorvastatin, being vigilant for muscle pain and weakness can prevent serious complications and ensure patient safety.

Correct Answer: B

Rationale: The correct instruction for a client prescribed metformin is to take the medication with a full glass of water. This helps ensure proper ingestion and absorption of the medication. While taking metformin with meals can help reduce gastrointestinal side effects, the primary focus should be on adequate hydration and absorption by taking it with water.