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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. 15 g of carbohydrates: This is used for hypoglycemia, not for hypotension.
B. Naloxone: Naloxone is an opioid antagonist, not relevant for ramipril-related symptoms.
C. Diphenhydramine: This is an antihistamine and not indicated for ramipril-related dizziness.
D. Fluid bolus: Dizziness and lightheadedness after starting an ACE inhibitor like ramipril may be due to hypotension. A fluid bolus can help restore blood volume and alleviate these symptoms.
Correct Answer is C
Explanation
A. Lorazepam: This medication is an anxiolytic and sedative, not indicated for neuropathic pain or trigeminal neuralgia.
B. Fluoxetine: This is an SSRI antidepressant, primarily used for mood disorders, not for the treatment of neuropathic pain.
C. Carbamazepine: This is the first-line treatment for trigeminal neuralgia. It is an anticonvulsant that stabilizes nerve membranes and reduces the hyperexcitability responsible for pain.
D. Methylphenidate: A CNS stimulant, used for ADHD and narcolepsy, not for trigeminal neuralgia.
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