Questions: QUESTION 36 A client is administered a sulfonamide for a urinary tract infection. Which intervention is most appropriate to increase alkalinity of the client's urine and so increasing the medication's effectiveness? A. Provide at least 2000 mL of water daily. B. Administer sodium bicarbonate. C. Recommend a tub bath every evening. D. Provide orange juice daily. QUESTION 37 A patient is taking an amphetamine for ADHD. He has developed constipation since beginning therapy. Which of the following should the patient be taught? A. Take a laxative B. Increase fiber C. Take diphenoxylate hydrochloride (Lomotil) D. Take metronidazole (Flagyl)

QUESTION 36 A client is administered a sulfonamide for a urinary tract infection. Which intervention is most appropriate to increase alkalinity of the client's urine and so increasing the medication's effectiveness? A. Provide at least 2000 mL of water daily. B. Administer sodium bicarbonate. C. Recommend a tub bath every evening. D. Provide orange juice daily. QUESTION 37 A patient is taking an amphetamine for ADHD. He has developed constipation since beginning therapy. Which of the following should the patient be taught? A. Take a laxative B. Increase fiber C. Take diphenoxylate hydrochloride (Lomotil) D. Take metronidazole (Flagyl)
Transcript text: QUESTION 36 A client is administered a sulfonamide for a urinary tract infection. Which intervention is most appropriate to increase alkalinity of the client's urine and so increasing the medication's effectiveness? A. Provide at least 2000 mL of water daily. B. Administer sodium bicarbonate. C. Recommend a tub bath every evening. D. Provide orange juice daily. QUESTION 37 A patient is taking an amphetamine for ADHD. He has developed constipation since beginning therapy. Which of the following should the patient be taught? A. Take a laxative B. Increase fiber C. Take diphenoxylate hydrochloride (Lomotil) D. Take metronidazole (Flagyl)
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Solution

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The answer to QUESTION 36 is B: Administer sodium bicarbonate.

Explanation for each option: A. Provide at least 2000 mL of water daily - While staying hydrated is important, it does not specifically increase the alkalinity of urine. B. Administer sodium bicarbonate - Sodium bicarbonate is an alkalinizing agent that can increase the pH of urine, making it more alkaline and potentially increasing the effectiveness of sulfonamides. C. Recommend a tub bath every evening - This does not affect the alkalinity of urine. D. Provide orange juice daily - Orange juice is acidic and would not help in increasing the alkalinity of urine.

The answer to QUESTION 37 is B: Increase fiber.

Explanation for each option: A. Take a laxative - While this might provide temporary relief, it is not a long-term solution and should not be the first recommendation. B. Increase fiber - Increasing dietary fiber is a natural and effective way to alleviate constipation and is a recommended first-line approach. C. Take diphenoxylate hydrochloride (Lomotil) - This medication is used to treat diarrhea, not constipation. D. Take metronidazole (Flagyl) - This is an antibiotic and is not relevant to treating constipation.

Summary: For QUESTION 36, the most appropriate intervention to increase the alkalinity of the client's urine is to administer sodium bicarbonate. For QUESTION 37, the patient should be taught to increase fiber intake to alleviate constipation.

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