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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Orange juice does not interact with simvastatin and does not need to be avoided.
B. Coenzyme Q10 (CoQ10) supplements are sometimes taken by patients on statins to help alleviate the side effects like muscle pain, but they do not need to be avoided.
C. Grapefruit juice should be avoided while taking simvastatin because it contains compounds that interfere with the enzymes that metabolize statins, potentially leading to increased drug levels and greater risk of side effects such as muscle damage.
D. Not all fruit juices interact with simvastatin; the specific concern is with grapefruit juice.
Correct Answer is ["B","C","D"]
Explanation
A. While medication may be necessary for some individuals with high lipid levels, lifestyle modifications should be attempted first.
B. Smoking cessation can help improve lipid profiles and overall cardiovascular health.

C. Increased exercise can help lower lipid levels and improve cardiovascular health.
D. Restricting dietary cholesterol can help lower blood lipid levels.
E. Unsaturated fats, particularly monounsaturated and polyunsaturated fats, are actually beneficial for heart health and should not be restricted.
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