A nurse in a provider's office is assisting in the care of a client.

Which of the following instructions should the nurse include when reinforcing teaching to the client about their medication? Select all that apply.

Lie down with feet elevated if dizziness occurs while taking this medication.

Apply the patch daily to a hairless area of the skin.

The medication will be effective 30 to 45 min following application.

Remove the patch 12 to 14 hr following application.

Remove the patch if you experience a headache.

Place the patch on the same area every day.

Answer and Explanation

Correct Answer : A,B,D

A. Lie down with feet elevated if dizziness occurs while taking this medication.: Dizziness may occur due to hypotension caused by nitroglycerin. Elevating the feet can improve blood flow to the brain and alleviate symptoms.
B. Apply the patch daily to a hairless area of the skin.: The patch should be applied to a clean, dry, and hairless area to ensure proper adhesion and absorption of the medication.
C. The medication will be effective 30 to 45 min following application.: Nitroglycerin patches are used for long-term prevention of angina, not immediate relief, which is provided by sublingual or spray formulations. The patch takes several hours to reach full effect.
D. Remove the patch 12 to 14 hr following application.: Removing the patch for 12 to 14 hours each day prevents tolerance to the medication. This is typically referred to as a "nitrate-free" interval.
E. Remove the patch if you experience a headache.: Headaches are a common side effect of nitroglycerin due to vasodilation. Clients should not remove the patch but may use analgesics like acetaminophen to manage the headache.
F. Place the patch on the same area every day.: The patch site should be rotated daily to prevent skin irritation.

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Correct Answer is B

Explanation

A. "This medication will protect me from sexually transmitted diseases.": Sildenafil does not prevent sexually transmitted diseases.
B. "I will avoid eating fatty foods, while I take this medication.": Fatty foods can delay the absorption and effectiveness of sildenafil.
C. "I should take this medication twice each day.": Sildenafil is typically taken as needed, not twice daily.
D. "I can expect to have constipation while I take this medication.": Constipation is not a known side effect of sildenafil.

A. Hydrochlorothiazide B. Lisinopril C. Atenolol D. Aspirin

Correct Answer is C

Explanation

A. Hydrochlorothiazide does not affect heart rate and can be safely given.
B. Lisinopril does not cause bradycardia.
C. Atenolol is a beta-blocker that slows heart rate; withholding is necessary for bradycardia.
D. Aspirin does not influence heart rate and is not contraindicated.

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Body System	Findings
Vital Signs/General History	Temperature 35.4 °C (97.6 °F), oral Heart rate 75/min Respiratory rate 16/min Blood pressure 100/74 mmHg Oxygen saturation 99% on room air Client is a vegetarian and takes a multivitamin daily Client reports having three to four alcoholic beverages a couple times per week.
Integumentary	Skin color is consistent with genetic background. No rashes or lesions. The client has varicose veins.
Cardiovascular/Respiratory	S1S2 auscultated. No murmurs. All peripheral pulses 2+. Lung sounds clear bilaterally.
Gastrointestinal/Genitourinary	Abdomen soft, nontender. Normoactive bowel sounds in all 4 quadrants. Last bowel movement was 3 days ago. Voids four to five times a day. Urine is clear, yellow, and odorless. Last menstrual period was 3 months ago.
Neurologic/Musculoskeletal	Alert and oriented to person, place, and time. Client takes diazepam as needed for anxiety. Client has full range of motion and is able to maintain flexion against resistance in all four extremities.

A nurse in a provider's office is assisting in the care of a client. Which of the following instructions should the nurse include when reinforcing teaching to the client about their medication? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has a prescription for sildenafil to treat erectile dysfunction. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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A nurse in a provider's office is assisting in the care of a client.

Which of the following instructions should the nurse include when reinforcing teaching to the client about their medication? Select all that apply.