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

Exhibits

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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

D. Dizziness and lightheadedness may be indicative of hypotension, which can occur as a side effect of ramipril, particularly with the first dose or with dose adjustments. Administering an IV fluid bolus can help increase intravascular volume, improve blood pressure, and alleviate symptoms of hypotension.
A. Administering carbohydrates is not indicated for dizziness and lightheadedness associated with ramipril administration. Carbohydrates are typically used to treat hypoglycemia in clients with diabetes. Dizziness and lightheadedness in this scenario are unlikely to be caused by hypoglycemia.
B. Diphenhydramine is an antihistamine commonly used to treat allergic reactions, itching, and insomnia. It is not indicated for dizziness and lightheadedness associated with ramipril administration. Administering diphenhydramine may not address the underlying cause of the symptoms.
C. Naloxone is a medication used to reverse opioid overdose by blocking the effects of opioids at receptor sites. It is not indicated for dizziness and lightheadedness associated with ramipril administration. Naloxone would not be appropriate in this situation.

A. A school-age child who has rhinitis B. A client who is at 27 weeks of gestation C. An adolescent who received a new tattoo last week D. A client who is about to travel to a different country

Correct Answer is B

Explanation

B. Pregnant individuals should not receive the LAIV. It is recommended that pregnant individuals receive the inactivated influenza vaccine (IIV) instead. Therefore, this client has a contraindication to receiving the LAIV.
A. Rhinitis, or inflammation of the nasal passages, is not a contraindication to receiving the LAIV. In fact, LAIV may be preferred over the inactivated influenza vaccine (IIV) for individuals without contraindications between the ages of 2 and 49 years.
C. Recent receipt of a tattoo is not a contraindication to receiving the LAIV. While LAIV should generally not be administered to individuals with compromised immune systems, recent tattooing is not considered a contraindication.
D. Traveling to a different country is not a contraindication to receiving the LAIV. However, individuals with certain medical conditions or who are immunocompromised should not receive the LAIV.

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A nurse in a provider's office is assisting in the care of a client. Exhibits 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 administering the first dose of ramipril to a client who has hypertension. The client reports feeling dizzy and lightheaded. Which of the following should the nurse administer?

Correct Answer is D

Explanation

A nurse in an influenza clinic is collecting data from four clients. Which of the following clients should the nurse identify as having a contraindication for receiving the live attenuated form of the influenza vaccine?

Correct Answer is B

Explanation

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

A nurse is planning to administer medications to a client who has trigeminal neuralgia. Which of the following medications should the nurse plan to administer to manage the client's pain?

A nurse is caring for a client who has chronic hypertension. The client's morning vital signs include BP 140/80 mm Hg, heart rate 54/min, and respiratory rate 18/min. Which of the following medications should the nurse plan to withhold?

A nurse is preparing to administer erythromycin PO to a client who has an infection. The nurse checks the client's medical record and notes that the client has a severe allergy to penicillin. Which of the following actions should the nurse take?

A nurse is collecting data from a client who states she recently started taking garlic as an herbal supplement. The nurse should advise the client to stop taking garlic due to a potential reaction with which of the following client medications?

A nurse is preparing to administer medication to a client who has a new prescription. Which of the following actions should the nurse take first?

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

Exhibits

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