Answer to Question 1
A
Alcoholics are likely to be folate deficient and have an increased risk of megaloblastic anemia when taking TMP/SMZ, so withholding this drug in this population is recommended. TMP/SMZ shares hypersensitivity reactions with oral sulfonylurea-type hypoglycemics that are used with type 2 diabetes mellitus, so it is not necessary to assess the blood glucose level more often. TMP/SMZ can cause hyperkalemia, so potassium supplements are contraindicated. Patients tak-ing TMP/SMZ should consume more fluids to maintain renal blood flow and prevent renal dam-age.
Answer to Question 2
D
Having the patient to restate the instructions allows the nurse to verify patient understanding.
The nurse will not be able to assess whether the patient learned from the video, because the pa-tient will watch it at home after discharge.
The nurse will not be able to assess whether the patient actually read the pamphlet and unders-tood its contents.
Monitoring the patient does not ensure compliance with the medication and is not indicated in this situation.
DIF: Cognitive Level: Application REF: p. 7
TOP: Nursing Process: Evaluation
MSC: NCLEX Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies
Nurses possess a wide variety of experiences which they take into each patient encounter.
Urinary System
Chain of infection.
Apply direct pressure to the patient’s wound.
Peristalsis Muscles around the organs of the GI tract constrict
An ulcer is created when the mucosal lining of the GI tract erodes or breaks