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Author Question: A patient has just been prescribed nalidixic acid (NegGram) for treatment of a UTI. The nurse is ... (Read 64 times)

DyllonKazuo

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on: Jul 23, 2018
A patient has just been prescribed nalidixic acid (NegGram) for treatment of a UTI. The nurse is providing patient education about nalidixic acid. Which statement by the patient demonstrates a need for further teaching?
 
  a. I may experience diarrhea.
  b. I should take all my medicine until it is gone.
  c. I should wear sunscreen and protective clothing when out in the sun.
  d. I may experience blurred vision.

Question 2

A 34-year-old patient has come to the office for follow-up after a left-sided mastectomy for breast cancer. The prescriber tells her that she will be started on tamoxifen (Nolvadex) to prevent the recurrence of breast cancer.
 
  The nurse provides patient education and answers questions about the drug treatment. Which statement made by the patient best demonstrates the need for further teaching? a. I may experience hot flashes.
  b. I will have an increased risk of osteoporosis.
  c. This medication may reduce the fat in my blood (serum lipids).
  d. This medication may increase my risk of endometrial cancer.


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morrie123456

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Reply #1 on: Jul 23, 2018
Answer to Question 1

A
Adverse effects of NegGram include nausea, vomiting, and abdominal discomfort, but not diarr-hea; this statement indicates a need for further teaching.
The patient should take all the medicine until it is gone; no further teaching is necessary.
The patient should protect her skin when exposed to the sun because nalidixic acid causes pho-tosensitivity; no further teaching is necessary.
The patient may experience blurred vision or diplopia (or both) and photophobia; no further teaching is necessary.

Answer to Question 2

B
Tamoxifen protects against osteoporosis; this statement indicates a need for further teaching.
Tamoxifen produces hot flashes; no further teaching is necessary.
Tamoxifen has a favorable effect on serum lipids; no further teaching is necessary.
Tamoxifen increases the risk of endometrial cancer and thromboembolism; no further teaching is necessary.


DyllonKazuo

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Reply #2 on: Jul 23, 2018
TY


morrie123456

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Reply #3 on: Jul 23, 2018
You're welcome


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