A nurse is teaching a client who is starting subcutaneous leuprolide for the treatment of prostate cancer. Which of the following information should the nurse include in the teaching?
Increase calcium intake.
Keep the solution cold for administration.
This medication can cause low blood glucose levels.
This medication can cause constipation.
The Correct Answer is A
Rationale:
A. Increase calcium intake: Leuprolide can cause a decrease in bone density, increasing the risk of osteoporosis. Therefore, the nurse should advise the client to increase calcium and vitamin D intake to help maintain bone health.
B. Keep the solution cold for administration: Leuprolide should be stored at room temperature, not refrigerated, for subcutaneous administration.
C. This medication can cause low blood glucose levels: Leuprolide does not typically affect blood glucose levels. However, it can cause other endocrine-related side effects, such as hot flashes and reduced libido.
D. This medication can cause constipation: Constipation is not a common side effect of leuprolide. Instead, leuprolide is more likely to cause side effects such as hot flashes and loss of bone density.
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Correct Answer is B
Explanation
Rationale:
A. "I will stop taking this medication when I feel better.": The full course of antibiotics should be completed to ensure the infection is fully treated and to prevent antibiotic resistance. This statement shows a misunderstanding.
B. "This medication can increase my risk of sunburn.": Ciprofloxacin can increase sensitivity to sunlight, making the skin more prone to sunburn. Clients are advised to avoid excessive sun exposure and use sunscreen.
C. "I should take my medication daily in the morning with milk.": Ciprofloxacin should not be taken with dairy products as calcium can interfere with the absorption of the medication, reducing its effectiveness.
D. "I should stop taking my birth control pills while I'm taking this medication.": Ciprofloxacin does not require discontinuation of birth control pills, though clients should be aware of the potential for antibiotic interactions to reduce contraceptive effectiveness.
Correct Answer is B
Explanation
Rationale:
A. Diazepam is a benzodiazepine used for anxiety and sedation but is not effective for treating malignant hyperthermia.
B. Dantrolene is the specific antidote for malignant hyperthermia, and the nurse should expect to administer it to help reduce the severe muscle contractions and hypermetabolism associated with this condition.
C. Cyclobenzaprine is a muscle relaxant used for muscle spasms but is not indicated for malignant hyperthermia.
D. Metaxalone is also a muscle relaxant, but like cyclobenzaprine, it is not effective for managing malignant hyperthermia and would not be used in this situation.