When teaching a client with a new prescription for furosemide, which instruction should the nurse include?

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ATI Pharmacology Questions

Question 1 of 5

When teaching a client with a new prescription for furosemide, which instruction should the nurse include?

Correct Answer: A

Rationale: The correct instruction for furosemide, a diuretic, is to take it in the morning to prevent nocturia. Taking it in the morning helps to prevent frequent urination during the night, allowing the client to have uninterrupted sleep. This timing also coincides with the body's natural diuretic response, which is typically more active during the day.

Question 2 of 5

A healthcare provider is reviewing the health care record of a client who is asking about conjugated equine estrogens. The provider should inform the client this medication is contraindicated in which of the following conditions?

Correct Answer: D

Rationale: Conjugated equine estrogens are contraindicated in clients with a history of thrombophlebitis due to the increased risk of thrombotic events associated with estrogen use. Thrombophlebitis is characterized by inflammation of a vein with the formation of a clot, and estrogen can further exacerbate this condition, leading to serious complications.

Question 3 of 5

A client in labor is receiving IV Opioid analgesics. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: When a client is receiving IV Opioid analgesics during labor, the nurse should offer oral hygiene every 2 hours. Opioid analgesics can cause adverse effects like dry mouth, nausea, and vomiting. Providing oral hygiene care helps alleviate these symptoms and maintains the client's comfort and well-being during labor.

Question 4 of 5

A nurse is evaluating teaching for a client who has Rheumatoid Arthritis and a new prescription for Methotrexate. Which of the following statements by the client indicates understanding of the teaching?

Correct Answer: C

Rationale: In this scenario, option C is the correct answer because it demonstrates the client's understanding of a potential side effect of Methotrexate, which is the development of sores in the mouth. This response indicates that the client is aware of the importance of monitoring and promptly reporting adverse effects to their healthcare provider. Option A is incorrect because blood monitoring for Methotrexate typically requires more frequent monitoring than once a year to ensure safety and efficacy. Option B is incorrect because Methotrexate is usually taken with food to minimize gastrointestinal side effects. Option D is incorrect because Methotrexate does not interact with oral contraceptives, so stopping them is unnecessary. Educationally, this question highlights the importance of patient education in medication management, especially in chronic conditions like Rheumatoid Arthritis. Understanding common side effects and when to report them is crucial for patient safety and treatment effectiveness. It also underscores the need for nurses to provide clear and accurate information to empower patients in managing their health.

Question 5 of 5

A client is being taught about a new prescription for Celecoxib. Which of the following information should be included in the teaching?

Correct Answer: A

Rationale: It is important for the nurse to educate the client about the increased risk for a myocardial infarction when taking Celecoxib due to its effect on suppressing vasodilation, which can lead to this adverse cardiovascular event. Monitoring for signs of heart issues and discussing the importance of seeking prompt medical attention if symptoms occur is crucial in the patient's education.

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