The nurse is performing patient teaching about the urinary anti-infective methenamine (Hiprex). What information is most important for the nurse to share with this patient?

A) Limit fluid intake.
B) Drink orange juice once a day.
C) Take the medication with food.
D) Take the medication at night before going to bed.


C
Feedback:
The patient should take the medication with food to decrease GI adverse effects. The nurse would encourage the patient to increase fluid intake to flush the bladder and urinary tract frequently and decrease the opportunity for bacteria growth. Orange juice would be contraindicated because it could cause an alkaline rash and produce alkaline urine, which encourages bacterial growth. This drug is taken two to three times a day and not in a single dose at night.

Nursing

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Patients discharged with antithyroid medications are alerted to the potential side effect of

a. hyperthermia. c. tachypnea. b. agranulocytosis. d. diaphoresis.

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Which of the following actions would help decrease the total health care costs in the United States?

a. Consolidate major health care facilities while expanding neighborhood primary care clinics b. Continue the move to computer-based medical records and other efficiencies in informatics c. Decrease current fraud and abuse d. Streamline and make more consistent all documents needed for third-party reimbursement

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The patient is getting neomycin for treatment of hepatic encephalopathy. While the patient is receiving this medication, it is especially important that the nurse:

a. evaluate renal function studies daily. b. give the medication every 12 hours. c. evaluate liver studies for signs of neomycin-induced damage. d. obtain stool guaiac tests to ensure that pathogens are being destroyed.

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The alpha level that is interpreted by the nurse researcher as a highly statistically significant result is what?

a. p = 0.20 b. p = 0.02 c. p = 0.002 d. p = 0.0002

Nursing