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.
Remove the patch if you experience a headache.
Lie down with feet elevated if dizziness occurs while taking this medication.
The medication will be effective 30 to 45 min following application
Apply the patch daily to a hairless area of the skin.
Remove the patch 12 to 14 hr following application.
Place the patch on the same area every day.
Correct Answer : A,B,C,D,E
A. Headache is a common side effect of nitroglycerin, and if it becomes severe or persistent, the client should remove the patch and seek medical advice.
B. Nitroglycerin can cause dizziness or lightheadedness, especially when changing positions. If the client experiences dizziness, lying down with feet elevated can help alleviate symptoms and prevent falls.
C. Nitroglycerin patches typically take about 30 to 45 minutes to begin working after application. This information helps the client understand the expected onset of action of the medication.
D. Nitroglycerin patches should be applied to a clean, hairless area of the skin, usually on the chest or upper arm, to ensure optimal absorption of the medication.
E. Nitroglycerin patches are typically worn for 12 to 14 hours at a time and then removed for a nitrate- free period to prevent tolerance. Following this schedule helps maintain the effectiveness of the medication.
F. To prevent skin irritation or tolerance to the medication, it is recommended to rotate the application site of the nitroglycerin patch with each new patch. This helps ensure consistent absorption and effectiveness of the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Checking the prescription in the client's medical record can help confirm the correct medication and dosage prescribed by the healthcare provider. It allows the nurse to verify the intended medication and compare it with what was supplied by the pharmacy.
B. While asking the client about allergies is important for medication safety, it may not directly address the discrepancy between the listed medication (phenobarbital) and the supplied medication (pentobarbital). Allergies are relevant to ensuring the safety of the medication administration, but they may not provide immediate clarification of the discrepancy.
C. This action may provide some context about the client's medication history, but it does not directly address the discrepancy between the listed medication and the supplied medication. The focus should be on confirming the correct medication for administration according to the client's current prescription.
D. This action may provide information about the client's previous medication administration history, but it does not directly address the discrepancy between the listed medication and the supplied medication. The nurse's primary concern should be to verify the correct medication to be administered at the current time.
Correct Answer is A
Explanation
A. Slurred speech can be a symptom of lithium toxicity. As lithium levels rise in the blood, it can affect neurological function, leading to symptoms such as confusion, drowsiness, tremors, and slurred speech.
B. Stooped posture is not typically associated with lithium toxicity. It is more commonly associated with musculoskeletal issues or neurological disorders rather than lithium toxicity.
C. Elevated blood pressure is not a typical symptom of lithium toxicity. Lithium can actually have a protective effect on blood pressure, and hypertension is not commonly associated with lithium toxicity.
D. Dry cough is not a symptom of lithium toxicity. It is more commonly associated with respiratory conditions or medication side effects rather than lithium toxicity.
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