Pharm Prep U.docx - Question 1 See full question After knee...

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Question 1 See full question After knee replacement surgery, a client is being discharged with acetaminophen with codeine 30 mg tablets for pain. During discharge preparation, the nurse should include which instruction? You Selected: "Avoid driving a car while taking this medication." Correct response: "Avoid driving a car while taking this medication." Explanation: Clients taking codeine should avoid driving because the medication can impair mental alertness. Fluid restriction isn't indicated, especially after surgery. To prevent adverse GI effects such as nausea, vomiting, anorexia, and constipation, the client shouldn't take codeine on an empty stomach. Codeine may cause dizziness, drowsiness, and seizures but doesn't cause fine motor tremors. Question 2 See full question A child with iron deficiency anemia is ordered ferrous sulfate, an oral iron supplement. When teaching the child and parent how to administer this preparation, the mother asks why she needs to mix the supplement with citrus juice. Which response by the nurse is best? You Selected: "The vitamin C in the citrus juice helps with iron absorption." Correct response: "The vitamin C in the citrus juice helps with iron absorption." Explanation: Administering an oral iron supplement such as ferrous sulfate with citrus juice or another vitamin C source enhances its absorption. Preferably, doses should be administered between meals because gastric acidity and absence of food promote iron absorption. Although citrus juice may improve the taste of an oral iron supplement, this isn't the primary reason for mixing the two together. Telling the mother that there isn't a specific reason for mixing the supplement with citrus juice is inappropriate and inaccurate. Question 3 See full question
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A new nurse is preparing to dispense medications to the assigned clients. The medications are provided by the pharmacy in individualized single-dose packaging. Which of the following steps is most important to ensure that each client receives the correct medication? You Selected: Compare the prescriber’s original order with the label on the pharmacy package. Correct response: Compare the prescriber’s original order with the label on the pharmacy package. Explanation: The only way to determine the accuracy of the medication on hand is to verify it against the original order. The other options do not check the original order with the medication that is to be administered to the client. Question 4 See full question A client is prescribed alfuzosin for benign prostatic hyperplasia (BPH). What should the nurse teach the client? You Selected: Rise slowly from a supine position. Correct response: Rise slowly from a supine position. Explanation: First-dose phenomenon, which is a severe and sudden drop in blood pressure after the administration of the first dose of an alpha-adrenergic blocker, can cause clients to fall or pass out. All clients must be warned about this adverse effect before they take their first dose of an alpha blocker. Orthostatic hypotension can occur with any dose of an
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