A client has a medical prescription for nifedipine [Adalat XL]. Which of the following should the nurse teach the client about this medication?

"Swallow the medication whole and do not cut, crush, or chew the medication."

"Take your blood pressure in the morning."

"Use caution with over-the-counter (OTC) cold medications."

"Take the medication before bedtime."

Answer and Explanation

The Correct Answer is A

A. Nifedipine [Adalat XL] is a long-acting calcium channel blocker, and it should be swallowed whole to maintain its extended-release properties and ensure proper absorption.
B. Blood pressure should be monitored regularly, but taking it in the morning is not specifically related to nifedipine's use.
C. While caution with OTC medications is generally good advice, it is not specific to nifedipine.
D. The timing of the medication (morning vs. bedtime) is not typically specified unless otherwise directed by the healthcare provider.

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Correct Answer is C

Explanation

A. Propranolol does not typically elevate potassium levels, and salt supplements are not contraindicated.
B. Yellow or blurred vision is not commonly associated with propranolol use but with digoxin toxicity.
C. Abrupt discontinuation of propranolol can lead to rebound hypertension, tachycardia, or exacerbation of angina, so it should be tapered off under medical supervision.
D. Grapefruit juice does not significantly interact with propranolol.

A. Take medication at night and avoid grapefruit juice. B. Take medication on an empty stomach before breakfast. C. Avoid dietary intake of dark, leafy greens. D. Increase intake of potassium-rich foods and alcohol.

Correct Answer is A

Explanation

A. Lovastatin is most effective when taken at night because cholesterol synthesis primarily occurs during sleep. Grapefruit juice should be avoided as it can increase the drug's concentration, leading to potential toxicity.
B. Lovastatin should be taken with food, preferably in the evening, to enhance absorption and effectiveness.
C. Dark, leafy greens are not contraindicated with lovastatin; they do not interfere with the medication’s action.
D. Alcohol intake should be limited while on statins due to the increased risk of liver damage, and there is no need to increase potassium-rich foods specifically.

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A client has a medical prescription for nifedipine [Adalat XL]. Which of the following should the nurse teach the client about this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is being discharged with a new prescription for propranolol [Inderal LA]. Which of the following must be included in discharge instructions?

Correct Answer is C

Explanation

The nurse is preparing a client for discharge with a medical prescription for the HMG-CoA inhibitor, lovastatin [Mevacor]. Which statements from the client demonstrate a clear understanding of the teaching provided by the nurse?

Correct Answer is A

Explanation

A client has a medical prescription for nifedipine [Adalat XL]. Which of the following should the nurse teach the client about this medication?

The nurse is evaluating the therapeutic effects of nitroglycerin transdermal patches prescribed to a client 6 months ago. Which of the following statements by the client would indicate that the medication is effective?

The nurse is caring for a client diagnosed with hypertension and taking losartan. The nurse should monitor the client for which of the following common side effects of this medication?

The client has been taking a medical prescription of ferrous sulfate [Feosol] for 30 days. During a follow-up assessment, the nurse will observe for which therapeutic response?

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