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A client taking nitroglycerin (Nitrostat) for angina asks the nurse to explain possible side effects. What should be included in client teaching? (Select all that apply)

Dizziness

Hyponatremia

Hyperkalemia

Hypotension

Reflex tachycardia

Answer and Explanation

Correct Answer : A,D,E

A. Dizziness is a common side effect of nitroglycerin due to its vasodilatory effects.

B. Hyponatremia and hyperkalemia are not typically associated with nitroglycerin use.

C. Hyponatremia is not typically associated with nitroglycerin use.

D. Hypotension is a common side effect of nitroglycerin due to its vasodilatory effects.

E. Reflex tachycardia, or an increase in heart rate, can occur as a compensatory response to the drop in blood pressure caused by nitroglycerin.

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Correct Answer is A

Explanation

A. Sexual side effects, including decreased libido and difficulty achieving orgasm, are common with sertraline and should be included in discharge teaching.

B. Sertraline can be taken at any time of day and does not necessarily need to be taken at bedtime.

C. Urinary adverse effects are not typically associated with sertraline use.

D. Light sensitivity is not a common side effect of sertraline.

A. Discuss how food can increase the symptoms of depression B. Arrange for admittance to the psychiatric unit C. Discuss the effects of wine on the action of antidepressants D. Assess the client's blood pressure

Correct Answer is D

Explanation

Explanation:

A. Discussing how food can increase the symptoms of depression is not the priority in this situation; the immediate concern is the interaction between phenelzine and wine.

B. Admitting the client to the psychiatric unit is not necessary based solely on the consumption of wine with phenelzine; assessing the client's condition is the priority.

C. Discussing the effects of wine on the action of antidepressants is important, but assessing the client's current status takes precedence.

D. Assessing the client's blood pressure is the priority action because phenelzine is an MAOI, and consuming wine while taking MAOIs can lead to a hypertensive crisis.

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A client taking nitroglycerin (Nitrostat) for angina asks the nurse to explain possible side effects. What should be included in client teaching? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing discharge teaching to a client who has a new prescription for sertraline (Zoloft) for posttraumatic stress disorder. Which of the following statements should the nurse include?

Correct Answer is A

Explanation

The client is prescribed phenelzine (Nardil). The client tells the nurse that they consumed two glasses of Chianti (red) wine at lunchtime. What is the nurse's priority action?

Correct Answer is D

Explanation

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The mother of an 8-year-old client who is receiving methylphenidate (Ritalin) tells the nurse the child has not slept well since being started on this drug. Which assessment question is a priority for this client?

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