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. Atenolol is a beta-blocker used to treat hypertension and lower heart rate. Given the client's low heart rate of 54 beats per minute (bradycardia), there is a potential concern about further lowering the heart rate with atenolol. Therefore, the nurse should consider withholding atenolol and consulting with the healthcare provider regarding the low heart rate before administering the medication.
A. Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor used to treat hypertension. With a blood pressure of 140/80 mm Hg, it is within the normal range for a client with chronic hypertension.
B. Hydrochlorothiazide is a diuretic commonly used to treat hypertension. With a blood pressure of 140/80 mm Hg, it is within the normal range for a client with chronic hypertension. Therefore, there is no immediate need to withhold hydrochlorothiazide based on the current blood pressure reading.
C. Aspirin is commonly used for cardiovascular protection in clients with hypertension. It is not typically withheld based on blood pressure readings alone unless there are other contraindications or concerns.

A. Mix the medications in a 3-mL syringe. B. Inject air into the regular vial first. C. Administer the medications in two separate syringes. D. Withdraw the NPH insulin last.

Correct Answer is D

Explanation

D. Drawing the NPH last ensures that it does not contaminate the short acting insulin. The regular insulin should be drawn first.
A. Regular and NPH insulin should not be mixed together in a single syringe prior to administration. Mixing them could alter their action profiles and affect their effectiveness.
B. While injecting air into the vial before withdrawing medication helps prevent negative pressure and facilitates easy withdrawal of the medication, it should be done for each vial individually, not specifically for the regular insulin vial.
C. The medication should be drawn up into the same syringe before administration to the patient.

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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 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?

Correct Answer is D

Explanation

A nurse is preparing to administer regular and NPH insulin to a client. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a client who has a new prescription for nitroglycerin transdermal patches to treat angina. The nurse should inform the client that which of the following manifestations is an adverse effect of the medication?

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A nurse is caring for a client who is taking allopurinol. Which of the following laboratory findings indicates the medication has been effective?

A nurse is caring for a client who has a new prescription for a nitroglycerin transdermal patch. Which of the following actions should the nurse take?

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.